License Directory

Pratuang Pooresatith Jimenez

Expired

California license 464371

License

Licensed by
California Board of Registered Nursing
License number
464371
Status
Expired (Delinquent)
First issued
March 31, 1991
Expired
June 30, 2020
License holder
Pratuang Pooresatith Jimenez
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

289 Iranistan Ave
Bridgeport, CT 06604-5250
Fairfield County