License Directory

Benita Mulyapatera

Expired

California license 212606

License

Licensed by
California Board of Registered Nursing
License number
212606
Status
Expired (Delinquent)
First issued
January 1, 1970
Expired
February 29, 2012
License holder
Benita Mulyapatera
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

366 Amberwood Dr
Walnut, CA 91789
Los Angeles County