MONICA PHETTA-KEOMANIWONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041285023

License Status

NOT RENEWED

Business

First Name

MONICA

Last Name

PHETTA-KEOMANIWONG

Business Name

MONICA PHETTA-KEOMANIWONG

Original Issue Date

09/26/1994

Effective Date

05/30/2008

Expiration Date

05/31/2010

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/16/2010