SIRIPHONE KHAMPHOUY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043075741

License Status

NOT RENEWED

Business

First Name

SIRIPHONE

Last Name

KHAMPHOUY

Business Name

SIRIPHONE KHAMPHOUY

Original Issue Date

06/22/1994

Expiration Date

01/31/1995

City

ELGIN

State

Zip

60120

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005