SIRIPHONE KHAMPHOUY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041284196

License Status

NOT RENEWED

Business

First Name

SIRIPHONE

Last Name

KHAMPHOUY

Business Name

SIRIPHONE KHAMPHOUY

Original Issue Date

08/29/1994

Effective Date

08/29/1994

Expiration Date

05/31/2000

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

09/27/2006