Siripen Lac
ExpiredCalifornia license 241794
License
- Licensed by
- California Board of Registered Nursing
- License number
- 241794
- Status
- Expired (Delinquent)
- First issued
- January 1, 1974
- Expired
- March 31, 2012
- License holder
- Siripen Lac
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1075 Queen Annes Ln
Beaumont, CA 92223
Beaumont, CA 92223
Riverside County