FELICIDAD GANTAL VICENCIO - Registered Nurse License in California | # 041175564

FELICIDAD GANTAL VICENCIO

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041175564

License Status

INACTIVE

Business

N

First Name

FELICIDAD GANTAL

Last Name

VICENCIO

Business Name

FELICIDAD GANTAL VICENCIO

Original Issue Date

10/12/1977

Effective Date

10/12/1977

Expiration Date

05/31/1984

State

CA

Ever Disciplined

N

LastModifiedDate

09/27/2006