Agnes E Melliza
ExpiredCalifornia license 196106
License
- Licensed by
- California Board of Registered Nursing
- License number
- 196106
- Status
- Expired (Delinquent)
- First issued
- January 1, 1969
- Expired
- February 28, 2017
- License holder
- Agnes E Melliza
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1141 S Pima Ave
West Covina, CA 91790-5338
West Covina, CA 91790-5338
Los Angeles County