PRAYONG PHONGSIRI Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041120001

License Status

INACTIVE

Business

First Name

PRAYONG

Last Name

PHONGSIRI

Business Name

PRAYONG PHONGSIRI

Original Issue Date

12/16/1966

Effective Date

12/16/1966

Expiration Date

05/31/1992

City

GLENDALE

State

Zip

91206

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/27/2006