License Directory

Ammini Koyipuram Samuel

Expired

California license 262510

License

Licensed by
California Board of Registered Nursing
License number
262510
Status
Expired (Delinquent)
First issued
January 1, 1976
Expired
August 31, 2019
License holder
Ammini Koyipuram Samuel
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

991 S Grinnell St
Anaheim, CA 92807-5042
Orange County