Pornthip Pat Prutaseranee
ExpiredCalifornia license 245778
License
- Licensed by
- California Board of Registered Nursing
- License number
- 245778
- Status
- Expired (Delinquent)
- First issued
- January 1, 1974
- Expired
- August 31, 2014
- License holder
- Pornthip Pat Prutaseranee
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2625 West Lincoln Avenue
Montebello, CA 90640
Montebello, CA 90640
Los Angeles County