MYPHUC T PHAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041180565

License Status

NOT RENEWED

Business

First Name

MYPHUC T

Last Name

PHAM

Business Name

MYPHUC T PHAM

Original Issue Date

05/08/1978

Effective Date

05/08/1978

City

W LAFAYETTE

State

Zip

47906

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006