DUC GIA PHAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043119894

License Status

INACTIVE

Business

First Name

DUC

Middle

GIA

Last Name

PHAM

Business Name

DUC GIA PHAM

Original Issue Date

10/31/2014

Effective Date

02/11/2015

Expiration Date

01/31/2017

City

GALENA

State

Zip

61036

Ever Disciplined

LastModifiedDate

11/10/2016