Suriya Phouthavongsay
Nursing in Draper, UT

License number
Utah 6250535-3102
Issued Date
Jan 24, 2007
Expiration Date
Jan 31, 2019
Category
Nurse
Type
Registered Nurse (Under Interstate Compact)
Address
Address
Draper, UT
Education
SALT LAKE COMMUNITY COLLEGE, May 5, 2006
LicenseFiles verified this license of Dec 14, 2016 at the Utah Division of Occupational and Professional Licensing.

Personal information

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Name
Address
Phone
Suriya Phouthavongsay, age 53
328 E Cranberry Hill Dr, Draper, UT 84020

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