KERRY J PHAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043101984

License Status

NOT RENEWED

Business

First Name

KERRY

Middle

Last Name

PHAM

Business Name

KERRY J PHAM

Original Issue Date

08/21/2006

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

JOHNSTON CITY

State

Zip

62951

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/17/2009