Phuong Kim Thai
ExpiredCalifornia license 95058325
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95058325
- Status
- Expired (Delinquent)
- First issued
- April 2, 2015
- Expired
- October 31, 2016
- License holder
- Phuong Kim Thai
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2174 Muliner Ave Apt 2Fl
Bronx, NY 10462-2003
Bronx, NY 10462-2003
Bronx County