License Directory

Passamon Tirabaedya

Expired

California license 484468

License

Licensed by
California Board of Registered Nursing
License number
484468
Status
Expired (Delinquent)
First issued
August 31, 1992
Expired
April 30, 2022
License holder
Passamon Tirabaedya
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

13534 Semora Place
Cerritos, CA 90703
Los Angeles County