VILAVAN IDDHIBONGSA - Registered Nurse License in California | # 041127931

VILAVAN IDDHIBONGSA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041127931

License Status

NOT RENEWED

Business

N

First Name

VILAVAN

Last Name

IDDHIBONGSA

Business Name

VILAVAN IDDHIBONGSA

Original Issue Date

10/02/1968

Effective Date

10/02/1968

State

CA

Ever Disciplined

N

LastModifiedDate

09/27/2006