Tassanee Pongvarin
ExpiredCalifornia license 222057
License
- Licensed by
- California Board of Registered Nursing
- License number
- 222057
- Status
- Expired (Delinquent)
- First issued
- January 1, 1972
- Expired
- June 30, 2011
- License holder
- Tassanee Pongvarin
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
16721 Bimini Ave
Cerritos, CA 90701
Cerritos, CA 90701
Los Angeles County