Mia L Requena
ExpiredCalifornia license 185462
License
- Licensed by
- California Board of Registered Nursing
- License number
- 185462
- Status
- Expired (Delinquent)
- First issued
- January 1, 1967
- Expired
- May 31, 2009
- License holder
- Mia L Requena
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
614 N Hanford Av
San Pedro, CA 90732
San Pedro, CA 90732
Los Angeles County