Phenprapa Disouryavong
ExpiredCalifornia license 95370075
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95370075
- Status
- Expired (Delinquent)
- First issued
- February 20, 2024
- Expired
- January 31, 2026
- License holder
- Phenprapa Disouryavong
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
772 W Oregon Ave
Klamath Falls, OR 97601-1943
Klamath Falls, OR 97601-1943
Klamath County