License Directory

Marylou R Agustin

Expired

California 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

More from the license record

License type code
4001

Contact

1717 S Bonnie Brae St
Apt 3
Los Angeles, CA 90006-5531
Los Angeles County