VIENGCHANH BOUAVONG Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041577669

License Status

ACTIVE

Business

First Name

VIENGCHANH

Last Name

BOUAVONG

Business Name

VIENGCHANH BOUAVONG

Original Issue Date

11/27/2024

Effective Date

03/12/2026

Expiration Date

05/31/2028

City

BALLWIN

State

Zip

63011

Ever Disciplined

LastModifiedDate

03/12/2026