Pennsylvania
Department of State
SIRIVANH OUDOM
Registered Nurse Temporary Permit
License number
RN002929Y
Date granted
08/20/1996
Date expires
08/31/1997
Class
Registered Nurse Temporary Permit
Status
Inactive
Address
SCRANTON PA 18505
palicensing.org
ID 16905840
LAST UPDATED 2024-04-01 00:09:21 UTC
LAST UPDATED 2024-04-01 00:09:21 UTC
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