MISTY BRIANNA PHOMMATHETH Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041469730

License Status

ACTIVE

Business

First Name

MISTY

Middle

BRIANNA

Last Name

PHOMMATHETH

Business Name

MISTY BRIANNA PHOMMATHETH

Original Issue Date

09/06/2018

Effective Date

05/28/2024

Expiration Date

05/31/2026

City

MACHESNEY PARK

State

Zip

61115

Ever Disciplined

LastModifiedDate

03/01/2026