Ellen Hasian Manullang
ExpiredCalifornia license 177886
License
- Licensed by
- California Board of Registered Nursing
- License number
- 177886
- Status
- Expired (Delinquent)
- First issued
- January 1, 1967
- Expired
- May 31, 2009
- License holder
- Ellen Hasian Manullang
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
10655 Mountain View Ave
Redlands, CA 92373
Redlands, CA 92373
San Bernardino County