PENNY S BOUNPHITHACK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041319030

License Status

ACTIVE

Business

First Name

PENNY

Middle

Last Name

BOUNPHITHACK

Business Name

PENNY S BOUNPHITHACK

Original Issue Date

04/05/2000

Effective Date

03/10/2024

Expiration Date

05/31/2026

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/28/2026