Annamma Mattathil
ExpiredCalifornia license 523762
License
- Licensed by
- California Board of Registered Nursing
- License number
- 523762
- Status
- Expired (Delinquent)
- First issued
- July 17, 1996
- Expired
- April 30, 2020
- License holder
- Annamma Mattathil
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1051 Hickory Hollow St
Manteca, CA 95336
Manteca, CA 95336
San Joaquin County