Supassra P Vutiya
ExpiredCalifornia license 250719
License
- Licensed by
- California Board of Registered Nursing
- License number
- 250719
- Status
- Expired (Delinquent)
- First issued
- January 1, 1975
- Expired
- March 31, 2016
- License holder
- Supassra P Vutiya
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
578 N Mondale St
Corona, CA 92879
Corona, CA 92879
Riverside County