BANYEN SANSANIYAVET - Registered Nurse License in California | # 041134801

BANYEN SANSANIYAVET

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041134801

License Status

INACTIVE

Business

N

First Name

BANYEN

Last Name

SANSANIYAVET

Business Name

BANYEN SANSANIYAVET

Original Issue Date

03/17/1970

Effective Date

03/17/1970

Expiration Date

05/31/2002

State

CA

Ever Disciplined

N

LastModifiedDate

10/09/2006