CHANPENG PHOMVANSI - Registered Nurse License in Illinois | # 041326094

CHANPENG PHOMVANSI

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041326094

License Status

ACTIVE

Business

N

First Name

CHANPENG

Last Name

PHOMVANSI

Business Name

CHANPENG PHOMVANSI

Original Issue Date

08/24/2001

Effective Date

05/06/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

02/28/2026