KRISTINE N PHOMMAVISETH Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043130799

License Status

ACTIVE

Business

First Name

KRISTINE

Middle

Last Name

PHOMMAVISETH

Business Name

KRISTINE N PHOMMAVISETH

Original Issue Date

08/24/2021

Effective Date

01/27/2025

Expiration Date

01/31/2027

City

SKOKIE

State

Zip

60077

Ever Disciplined

LastModifiedDate

01/27/2025