RELLY DALE QUIAMBAO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041205648

License Status

NOT RENEWED

Business

First Name

RELLY DALE

Last Name

QUIAMBAO

Business Name

RELLY DALE QUIAMBAO

Original Issue Date

10/08/1981

Effective Date

06/02/2010

Expiration Date

05/31/2012

City

YORBA LINDA

State

Zip

92886

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

07/10/2012