Oregon
Board of Licensing
Souphanthong, Phetoulay
Nursing - Cna
License number
201111896CNA
Date granted
11/13/2014
Date expires
11/29/2016
Class
Nursing - Cna
Status
Active
Address
oregonlicensing.com
ID 33093100
LAST UPDATED 2024-02-17 04:08:59 UTC
LAST UPDATED 2024-02-17 04:08:59 UTC