PUONGPAYOM YASMUTH - Registered Nurse License in California | # 041173996

PUONGPAYOM YASMUTH

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041173996

License Status

INACTIVE

Business

N

First Name

PUONGPAYOM

Last Name

YASMUTH

Business Name

PUONGPAYOM YASMUTH

Original Issue Date

05/12/1977

Effective Date

05/12/1977

Expiration Date

05/01/1982

State

CA

Ever Disciplined

N

LastModifiedDate

09/27/2006