License holder summary

Latdavanh Phansalyasack is a Nursing - Certified Nurse Aide licensed to practice in Colorado. The address on file for Latdavanh Phansalyasack is 15876 East 97th Place, Commerce City, CO, 80022-0022. This nurse license is not current. The license was granted 10/03/2002 and expired on 01/31/2004.

Department of Regulatory Agencies

Division of Professions and Occupations

Latdavanh Phansalyasack
Nursing - Certified Nurse Aide
License number
514404
Date granted
10/03/2002
Date expires
01/31/2004
Class
Nursing - Certified Nurse Aide
Status
Expired
Address
15876 East 97th Place, Commerce City, CO, 80022-0022
nursingcolorado.org
ID 27696328
LAST UPDATED 2026-05-10 05:34:07 UTC

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