Pavanee Prayongratana
ExpiredCalifornia license 221990
License
- Licensed by
- California Board of Registered Nursing
- License number
- 221990
- Status
- Expired (Delinquent)
- First issued
- January 1, 1972
- Expired
- September 30, 2009
- License holder
- Pavanee Prayongratana
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
8250 Baldwin Cir
Buena Park, CA 90621
Buena Park, CA 90621
Orange County