JESSICA MARIE TANTHAVONG Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041460610

License Status

ACTIVE

Business

First Name

JESSICA

Middle

MARIE

Last Name

TANTHAVONG

Business Name

JESSICA MARIE TANTHAVONG

Original Issue Date

12/15/2017

Effective Date

03/01/2026

Expiration Date

05/31/2028

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

03/01/2026