License holder summary

SOUKANYA KHAMVONGSA is a Registered Nurse licensed to practice in Connecticut. The address on file for SOUKANYA KHAMVONGSA is 147 DARYL DR, Tolland, VERNON ROCKVILLE, CT, 06066-4215. This nurse license is current. The license was granted 06/13/2011 and expired on 07/31/2015.

Department of Public Health

Board of Nursing

SOUKANYA KHAMVONGSA
Registered Nurse
License number
100069
Date granted
06/13/2011
Date expires
07/31/2015
Class
Registered Nurse
Status
Active
Address
147 DARYL DR, Tolland, VERNON ROCKVILLE, CT, 06066-4215
nursingct.org
ID 4384189
LAST UPDATED 2021-08-11 20:54:02 UTC

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