GAYLE RUTH PHONGSVANIT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043036054

License Status

NOT RENEWED

Business

First Name

GAYLE RUTH

Last Name

PHONGSVANIT

Business Name

GAYLE RUTH PHONGSVANIT

Original Issue Date

01/30/1975

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

ORLANDO

State

Zip

32819

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/15/2005