License holder summary

SOUTHIDA THAMMAVONGSA is a Registered Nurse licensed to practice in Connecticut. The address on file for SOUTHIDA THAMMAVONGSA is 26 LINCOLN RD, Windham, DANIELSON, CT, 06239-3633. This nurse license is current. The license was granted 02/17/2012 and expired on 07/31/2015.

Department of Public Health

Board of Nursing

SOUTHIDA THAMMAVONGSA
Registered Nurse
License number
104458
Date granted
02/17/2012
Date expires
07/31/2015
Class
Registered Nurse
Status
Active
Address
26 LINCOLN RD, Windham, DANIELSON, CT, 06239-3633
nursingct.org
ID 4395070
LAST UPDATED 2024-03-02 16:09:21 UTC

This website is unaffiliated with the Board of Nursing. Please verify all information directly with the relevant official government authority.

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