Evelyn Dacoco Fortich
ExpiredCalifornia license 498904
License
- Licensed by
- California Board of Registered Nursing
- License number
- 498904
- Status
- Expired (Delinquent)
- First issued
- March 31, 1994
- Expired
- October 31, 2013
- License holder
- Evelyn Dacoco Fortich
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
8146 Dracaena Dr
Buena Park, CA 90620
Buena Park, CA 90620
Orange County