SIRIPHONE KHAMPHOUY - Registered Nurse License in Illinois | # 043075741

SIRIPHONE KHAMPHOUY

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043075741

License Status

NOT RENEWED

Business

N

First Name

SIRIPHONE

Last Name

KHAMPHOUY

Business Name

SIRIPHONE KHAMPHOUY

Original Issue Date

06/22/1994

Expiration Date

01/31/1995

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005