License Directory

Supattra Borirug

Expired

California 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

More from the license record

License type code
4001

Contact

5033 Premeire Av
Lakewood, CA 90712
Los Angeles County