KHONTHAVY DIZON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041362541

License Status

NOT RENEWED

Business

First Name

KHONTHAVY

Last Name

DIZON

Business Name

KHONTHAVY DIZON

Original Issue Date

08/16/2007

Effective Date

08/16/2007

Expiration Date

05/31/2008

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/11/2008