Lissamma Simon
ExpiredCalifornia license 596879
License
- Licensed by
- California Board of Registered Nursing
- License number
- 596879
- Status
- Expired (Delinquent)
- First issued
- March 28, 2002
- Expired
- April 30, 2006
- License holder
- Lissamma Simon
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
7410 Meadow Lane
Hammond, IN 46324
Hammond, IN 46324
Lake County