Secretary of State
Board of Nursing
KATIE JO KHAMPHANTHIRATH
Nursing - Licensed Practical Nurse
License number
PN5205218
Date granted
06/25/2012
Date expires
07/31/2017
Class
Nursing - Licensed Practical Nurse
Status
Active
Address
4057 UNIVERSITY BLVD N JACKSONVILLE,FL32277 UNITED STATES
nursingflorida.org
ID 32005320
LAST UPDATED 2026-04-27 06:06:48 UTC
LAST UPDATED 2026-04-27 06:06:48 UTC
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