Revilla Briones Supan
ExpiredCalifornia license 192221
License
- Licensed by
- California Board of Registered Nursing
- License number
- 192221
- Status
- Expired (Delinquent)
- First issued
- January 1, 1968
- Expired
- February 28, 2014
- License holder
- Revilla Briones Supan
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1486 W Ave 43
Los Angeles, CA 90065
Los Angeles, CA 90065
Los Angeles County