License holder summary

Latdavanh Phansalyasack is a Nursing - Temporary Graduate Professional Nurse Permit licensed to practice in Colorado. The address on file for Latdavanh Phansalyasack is 15876 East 97th Place, Commerce City, CO, 80022-0022. This licensed professional license is not current. The license was granted 01/26/2005 and expired on 03/11/2005.

Colorado

Division of Professions and Occupations

Latdavanh Phansalyasack
Nursing - Temporary Graduate Professional Nurse Permit
License number
4471
Date granted
01/26/2005
Date expires
03/11/2005
Class
Nursing - Temporary Graduate Professional Nurse Permit
Status
Expired
Address
15876 East 97th Place, Commerce City, CO, 80022-0022
coloradolicensing.org
ID 28176856
LAST UPDATED 2024-04-15 10:10:55 UTC

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