Supranee Watana
ExpiredCalifornia license 278335
License
- Licensed by
- California Board of Registered Nursing
- License number
- 278335
- Status
- Expired (Delinquent)
- First issued
- January 1, 1977
- Expired
- June 30, 2007
- License holder
- Supranee Watana
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2049 Fernbank Ave
Monterey Park, CA 91754
Monterey Park, CA 91754
Los Angeles County