KIM ANH PHAN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041512473

License Status

ACTIVE

Business

First Name

KIM

Middle

ANH

Last Name

PHAN

Business Name

KIM ANH PHAN

Original Issue Date

07/21/2021

Effective Date

03/14/2026

Expiration Date

05/31/2028

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/14/2026