Ma Dalisay Rie Petallano
ExpiredCalifornia license 470140
License
- Licensed by
- California Board of Registered Nursing
- License number
- 470140
- Status
- Expired (Delinquent)
- First issued
- August 31, 1991
- Expired
- April 30, 2015
- License holder
- Ma Dalisay Rie Petallano
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
22577 Cisneros Dr
Hayward, CA 94541
Hayward, CA 94541
Alameda County