SOUNANTHA SAYAVONGSA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041333188

License Status

NOT RENEWED

Business

First Name

SOUNANTHA

Last Name

SAYAVONGSA

Business Name

SOUNANTHA SAYAVONGSA

Original Issue Date

11/08/2002

Effective Date

11/08/2002

Expiration Date

05/31/2008

City

ST JOSEPH

State

Zip

49085

County

MICHIGAN

Ever Disciplined

LastModifiedDate

07/11/2008