DOUANGMALA PHRASAVATH - Registered Nurse License in Wisconsin | # 041345407

DOUANGMALA PHRASAVATH

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041345407

License Status

NOT RENEWED

Business

N

First Name

DOUANGMALA

Last Name

PHRASAVATH

Business Name

DOUANGMALA PHRASAVATH

Original Issue Date

03/23/2005

Effective Date

03/23/2005

Expiration Date

05/31/2006

State

WI

Ever Disciplined

N

LastModifiedDate

10/09/2006