KHANCHANA PHOTHISENE KENNEDY Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041306633

License Status

ACTIVE

Business

First Name

KHANCHANA

Middle

PHOTHISENE

Last Name

KENNEDY

Business Name

KHANCHANA PHOTHISENE KENNEDY

Original Issue Date

10/21/1997

Effective Date

04/17/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

02/28/2026