License holder summary

sysamouth, phavana n is a Registered Nurse licensed to practice in Wisconsin. This nurse license is current. The license was granted 02/19/2015 and expired on 02/28/2018.

Wisconsin

Department of Safety and Professional Services

sysamouth, phavana n
Registered Nurse
License number
221485-30
Date granted
02/19/2015
Date expires
02/28/2018
Class
Registered Nurse
Status
Active
nursingwisconsin.org
ID 36523701
LAST UPDATED 2026-03-27 16:27:21 UTC

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