Vantana Asavisanu
ExpiredCalifornia license 245762
License
- Licensed by
- California Board of Registered Nursing
- License number
- 245762
- Status
- Expired (Delinquent)
- First issued
- January 1, 1974
- Expired
- September 30, 2020
- License holder
- Vantana Asavisanu
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
18911 Trucke Way
Walnut, CA 91789-4522
Walnut, CA 91789-4522
Los Angeles County