Hongkham Sisavath
ExpiredCalifornia license 612916
License
- Licensed by
- California Board of Registered Nursing
- License number
- 612916
- Status
- Expired (Delinquent)
- First issued
- January 31, 2003
- Expired
- April 30, 2020
- License holder
- Hongkham Sisavath
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2591 Sioux Ct
Rockford, IL 61109-4493
Rockford, IL 61109-4493
Winnebago County