Evita Thephavong
ActiveCalifornia license 600511
License
- Licensed by
- California Board of Registered Nursing
- License number
- 600511
- Status
- Active (Current)
- First issued
- June 12, 2002
- Expires
- May 31, 2028
- License holder
- Evita Thephavong
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
PO Box 7685
Moreno Valley, CA 92552-7685
Moreno Valley, CA 92552-7685
Riverside County