DENISE RENEE SOPHANAVONG Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041315599

License Status

ACTIVE

Business

First Name

DENISE

Middle

RENEE

Last Name

SOPHANAVONG

Business Name

DENISE RENEE SOPHANAVONG

Original Issue Date

08/11/1999

Effective Date

03/25/2026

Expiration Date

05/31/2028

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/25/2026