License holder summary

SURIYA PHOUTHAVONGSAY is a Nurse - Registered Nurse licensed to practice in Utah. The address on file for SURIYA PHOUTHAVONGSAY is DRAPER, UT 84020. This nurse license is current. The license was granted 01/24/2007 and expired on 01/31/2017.

Division of Occupational and Professional Licensing

Board of Nursing

SURIYA PHOUTHAVONGSAY
Nurse - Registered Nurse
License number
6250535-3102
Date granted
01/24/2007
Date expires
01/31/2017
Class
Nurse - Registered Nurse
Status
Active
Address
DRAPER, UT 84020
nursingutah.org
ID 29865834
LAST UPDATED 2024-03-02 22:57:21 UTC

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