Ponprom Donavanik
ExpiredCalifornia license 516908
License
- Licensed by
- California Board of Registered Nursing
- License number
- 516908
- Status
- Expired (Delinquent)
- First issued
- October 23, 1995
- Expired
- December 31, 2014
- License holder
- Ponprom Donavanik
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1623 East Idahome Street
West Covina, CA 91791
West Covina, CA 91791
Los Angeles County