NUSARA THUPVONG - Registered Nurse License in Indiana | # 041251449

NUSARA THUPVONG

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041251449

License Status

INACTIVE

Business

N

First Name

NUSARA

Last Name

THUPVONG

Business Name

NUSARA THUPVONG

Original Issue Date

02/28/1989

Effective Date

02/28/1989

Expiration Date

05/31/2004

State

IN

Ever Disciplined

N

LastModifiedDate

10/09/2006