DOUANGMALA PHRASAVATH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041345407

License Status

NOT RENEWED

Business

First Name

DOUANGMALA

Last Name

PHRASAVATH

Business Name

DOUANGMALA PHRASAVATH

Original Issue Date

03/23/2005

Effective Date

03/23/2005

Expiration Date

05/31/2006

City

MILWAUKEE

State

Zip

53211

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006