License holder summary

KHAMLA BANAVONG is a Registered Nurse licensed to practice in Connecticut. The address on file for KHAMLA BANAVONG is 164 MEDFORD ST, Hartford, Bristol, CT, 06010. This nurse license is current. The license was granted 07/11/2002 and expired on 12/31/2013.

Department of Public Health

Board of Nursing

KHAMLA BANAVONG
Registered Nurse
License number
68993
Date granted
07/11/2002
Date expires
12/31/2013
Class
Registered Nurse
Status
Active
Address
164 MEDFORD ST, Hartford, Bristol, CT, 06010
nursingct.org
ID 4436551
LAST UPDATED 2024-04-01 06:02:04 UTC

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