NUSARA THUPVONG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041251449

License Status

INACTIVE

Business

First Name

NUSARA

Last Name

THUPVONG

Business Name

NUSARA THUPVONG

Original Issue Date

02/28/1989

Effective Date

02/28/1989

Expiration Date

05/31/2004

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006