VILAVAN IDDHIBONGSA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041127931

License Status

NOT RENEWED

Business

First Name

VILAVAN

Last Name

IDDHIBONGSA

Business Name

VILAVAN IDDHIBONGSA

Original Issue Date

10/02/1968

Effective Date

10/02/1968

City

APO SAN FRANCISCO

State

Zip

96346

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/27/2006