ANGIE MARIE PHASOUK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041333075

License Status

INACTIVE

Business

First Name

ANGIE

Middle

MARIE

Last Name

PHASOUK

Business Name

ANGIE MARIE PHASOUK

Original Issue Date

10/30/2002

Effective Date

05/20/2020

Expiration Date

08/31/2022

City

BAINBRIDGE ISLAND

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

07/31/2022