License Directory

Mallika Suwannarat

Expired

California license 602169

License

Licensed by
California Board of Registered Nursing
License number
602169
Status
Expired (Delinquent)
First issued
July 18, 2002
Expired
September 30, 2005
License holder
Mallika Suwannarat
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

440 E Pine Lake Cir
Vernon Hill, IL 60061
Lake County