Wantana Phruksawan
ExpiredCalifornia license 486722
License
- Licensed by
- California Board of Registered Nursing
- License number
- 486722
- Status
- Expired (Delinquent)
- First issued
- March 31, 1993
- Expired
- April 30, 2023
- License holder
- Wantana Phruksawan
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
782 Parkway Dr
Martinez, CA 94553-3471
Martinez, CA 94553-3471
Contra Costa County