Alfonso A Ortizdevillate
ExpiredCalifornia license 518789
License
- Licensed by
- California Board of Registered Nursing
- License number
- 518789
- Status
- Expired (Delinquent)
- First issued
- January 26, 1996
- Expired
- April 30, 2021
- License holder
- Alfonso A Ortizdevillate
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
153 Laurelwood Rd
Groton, CT 06340-4277
Groton, CT 06340-4277
New London County