Phuong Kim Porter
InactiveIllinois license 041195259
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041195259
- Status
- Inactive
- First issued
- May 6, 1980
- Expired
- May 31, 1984
- License holder
- Phuong Kim Porter
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 05/06/1980
Contact
Annandale, VA 22003
Virginia County