Pushpam Swamy Mydur
ExpiredCalifornia license 9512
License
- Licensed by
- California Board of Registered Nursing
- License number
- 9512
- Status
- Expired (Delinquent)
- First issued
- November 10, 1997
- Expired
- February 28, 2017
- License holder
- Pushpam Swamy Mydur
- Entity type
- Individual
Classifications
- Nurse Practitioner Nursing
More from the license record
- License type code
- 4004
Other California licenses under this name
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CA
ExpiredSouthlake, TXExpired Feb 28, 2019
-
CA
ExpiredSouthlake, TXExpired Feb 28, 2017
Contact
505 Clariden Ranch Rd
Southlake, TX 76092
Southlake, TX 76092
Tarrant County