Khanthavivon Bounvilay

Name

Khanthavivon Bounvilay

Year of birth

1983

Source

USA - Health and Human Services List of Excluded Individuals and Entities

Aliases

Khanthavivon Bounvilay

Privacy Request

Additional Information

General: IND- LIC HC SERV PRO

Specialty: NURSE/NURSES AIDE

Address: 873 KING STREET

City: BURLINGTON

State: NC

Zip code: 27217

Exclusion type: License revocation, suspension, or surrender. Minimum Period: Period imposed by the state licensing authority. (Social Security Act: 1128(b)(4), 42 USC §: 1320a-7(b)(4))

Exclusion date: 2013-01-20


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