Sukulaya Phomthong
ExpiredCalifornia license 477145
License
- Licensed by
- California Board of Registered Nursing
- License number
- 477145
- Status
- Expired (Delinquent)
- First issued
- March 31, 1992
- Expired
- April 30, 2012
- License holder
- Sukulaya Phomthong
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
8875 Larkspur Drive
Corona, CA 92883
Corona, CA 92883
Riverside County