Surapee Phanthanusorn
ExpiredCalifornia license 243054
License
- Licensed by
- California Board of Registered Nursing
- License number
- 243054
- Status
- Expired (Delinquent)
- First issued
- January 1, 1974
- Expired
- June 30, 2018
- License holder
- Surapee Phanthanusorn
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
3460 E Poppy St
Long Beach, CA 90805
Long Beach, CA 90805
Los Angeles County