JOAN TAN PHANTONG - Registered Nurse License in Maryland | # 041333965

JOAN TAN PHANTONG

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041333965

License Status

NOT RENEWED

Business

N

First Name

JOAN

Middle

TAN

Last Name

PHANTONG

Business Name

JOAN TAN PHANTONG

Original Issue Date

02/03/2003

Effective Date

02/03/2003

Expiration Date

05/31/2004

State

MD

Ever Disciplined

N

LastModifiedDate

10/09/2006