PHUONG KIM PORTER - Registered Nurse License in Virginia | # 041195259

PHUONG KIM PORTER

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041195259

License Status

INACTIVE

Business

N

First Name

PHUONG KIM

Last Name

PORTER

Business Name

PHUONG KIM PORTER

Original Issue Date

05/06/1980

Effective Date

05/06/1980

Expiration Date

05/31/1984

State

VA

Ever Disciplined

N

LastModifiedDate

09/27/2006