TINA THORAVONGSA - Registered Nurse License in Wisconsin | # 041503343

TINA THORAVONGSA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041503343

License Status

NOT RENEWED

Business

N

First Name

TINA

Last Name

THORAVONGSA

Business Name

TINA THORAVONGSA

Original Issue Date

12/04/2020

Effective Date

08/09/2022

Expiration Date

06/30/2024

State

WI

Ever Disciplined

N

LastModifiedDate

02/05/2025