KANNIKA VATHANASOMBAT - Registered Nurse License in California | # 041220468

KANNIKA VATHANASOMBAT

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041220468

License Status

NOT RENEWED

Business

N

First Name

KANNIKA

Last Name

VATHANASOMBAT

Business Name

KANNIKA VATHANASOMBAT

Original Issue Date

11/08/1983

Effective Date

11/08/1983

Expiration Date

05/31/2004

State

CA

Ever Disciplined

N

LastModifiedDate

10/09/2006