Nitaya Victoria Puenthong
ExpiredCalifornia license 161723
License
- Licensed by
- California Board of Registered Nursing
- License number
- 161723
- Status
- Expired (Delinquent)
- First issued
- January 1, 1965
- Expired
- November 30, 2012
- License holder
- Nitaya Victoria Puenthong
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
5236 Central Ave
Unit 129
Riverside, CA 92504
Unit 129
Riverside, CA 92504
Riverside County