Marylou R Agustin
ExpiredCalifornia license 177080
License
- Licensed by
- California Board of Registered Nursing
- License number
- 177080
- Status
- Expired (Delinquent)
- First issued
- January 1, 1967
- Expired
- November 30, 2010
- License holder
- Marylou R Agustin
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1717 S Bonnie Brae St
Apt 3
Los Angeles, CA 90006-5531
Apt 3
Los Angeles, CA 90006-5531
Los Angeles County