Phetsamone Bouthsarath
ActiveCalifornia license 95049292
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95049292
- Status
- Active (Current)
- First issued
- December 5, 2014
- Expires
- January 31, 2028
- License holder
- Phetsamone Bouthsarath
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
11034 International Dr
Rancho Cordova, CA 95670-8004
Rancho Cordova, CA 95670-8004
Sacramento County