SOUTHSY VONGPHAKDY Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041419250

License Status

ACTIVE

Business

First Name

SOUTHSY

Last Name

VONGPHAKDY

Business Name

SOUTHSY VONGPHAKDY

Original Issue Date

03/27/2014

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/05/2026