Poonsup Suthivarakom
ExpiredCalifornia license 260293
License
- Licensed by
- California Board of Registered Nursing
- License number
- 260293
- Status
- Expired (Delinquent)
- First issued
- January 1, 1975
- Expired
- October 31, 2015
- License holder
- Poonsup Suthivarakom
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
18846 East Bench St
La Puente, CA 91744
La Puente, CA 91744
Los Angeles County