Nieffen P Mata
ExpiredCalifornia license 480155
License
- Licensed by
- California Board of Registered Nursing
- License number
- 480155
- Status
- Expired (Delinquent)
- First issued
- August 31, 1992
- Expired
- November 30, 2005
- License holder
- Nieffen P Mata
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
15538 Bellflower Blvd #H
Bellflower, CA 90706
Bellflower, CA 90706
Los Angeles County