Samuel Antolin Alfonso
ExpiredCalifornia license 480576
License
- Licensed by
- California Board of Registered Nursing
- License number
- 480576
- Status
- Expired (Delinquent)
- First issued
- August 31, 1992
- Expired
- January 31, 2014
- License holder
- Samuel Antolin Alfonso
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1864 Calafia St
Glendale, CA 91208
Glendale, CA 91208
Los Angeles County