SAMRAUY PETEHTHONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041172423

License Status

NOT RENEWED

Business

First Name

SAMRAUY

Last Name

PETEHTHONG

Business Name

SAMRAUY PETEHTHONG

Original Issue Date

12/02/1976

Effective Date

12/02/1976

City

PARAMOUNT

State

Zip

90723

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/27/2006