Sangdaun Dejativongse
ExpiredCalifornia license 240642
License
- Licensed by
- California Board of Registered Nursing
- License number
- 240642
- Status
- Expired (Delinquent)
- First issued
- January 1, 1974
- Expired
- October 31, 2013
- License holder
- Sangdaun Dejativongse
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
7701 Sawyer Ave
Darien, IL 60559
Darien, IL 60559
Du Page County