KHAMPHANH SAYAPHOUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041267206

License Status

NOT RENEWED

Business

First Name

KHAMPHANH

Last Name

SAYAPHOUM

Business Name

KHAMPHANH SAYAPHOUM

Original Issue Date

04/09/1992

Effective Date

05/06/2020

Expiration Date

08/31/2022

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/14/2022