Iluminada N Bongolan
ExpiredCalifornia license 195618
License
- Licensed by
- California Board of Registered Nursing
- License number
- 195618
- Status
- Expired (Delinquent)
- First issued
- January 1, 1969
- Expired
- July 31, 2006
- License holder
- Iluminada N Bongolan
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
6097 Montgomery Court
San Jose, CA 95135
San Jose, CA 95135
Santa Clara County