Raul Ponla Dominguiano
ExpiredCalifornia license 519799
License
- Licensed by
- California Board of Registered Nursing
- License number
- 519799
- Status
- Expired (Delinquent)
- First issued
- February 26, 1996
- Expired
- November 30, 2007
- License holder
- Raul Ponla Dominguiano
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2016 Shoshoni Ln
Evansville, IN 47715
Evansville, IN 47715
Vanderburgh County