Raisa Maksovna Fomenko
ExpiredCalifornia license 606058
License
- Licensed by
- California Board of Registered Nursing
- License number
- 606058
- Status
- Expired (Delinquent)
- First issued
- September 6, 2002
- Expired
- January 31, 2022
- License holder
- Raisa Maksovna Fomenko
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Other California licenses under this name
-
CA
ExpiredValencia, CAExpired Jan 31, 2020
Contact
24430 Nicklaus Dr
#L3
Valencia, CA 91355-2362
#L3
Valencia, CA 91355-2362
Los Angeles County