Supattra Borirug
ExpiredCalifornia license 502288
License
- Licensed by
- California Board of Registered Nursing
- License number
- 502288
- Status
- Expired (Delinquent)
- First issued
- August 12, 1994
- Expired
- June 30, 2006
- License holder
- Supattra Borirug
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
5033 Premeire Av
Lakewood, CA 90712
Lakewood, CA 90712
Los Angeles County