KERRY J PHAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041360598

License Status

INACTIVE

Business

First Name

KERRY

Middle

Last Name

PHAM

Business Name

KERRY J PHAM

Original Issue Date

06/22/2007

Effective Date

06/22/2007

Expiration Date

05/31/2008

City

JOHNSTON CITY

State

Zip

62951

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/11/2008