License holder summary

SOURIYAVONGSA , PHEO is a Department Of Health - Licensed Practical Nurse licensed to practice in Tennessee. This nurse license is current. The license was granted 10/05/2011 and expired on 03/31/2018.

Department of Health

Board of Nursing

SOURIYAVONGSA , PHEO
Department Of Health - Licensed Practical Nurse
License number
80213
Date granted
10/05/2011
Date expires
03/31/2018
Class
Department Of Health - Licensed Practical Nurse
Status
Licensed
Address
nursingtn.com
ID 42148525
LAST UPDATED 2026-05-20 21:50:17 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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