Mafil Modina Basalo
ExpiredCalifornia license 608454
License
- Licensed by
- California Board of Registered Nursing
- License number
- 608454
- Status
- Expired (Delinquent)
- First issued
- October 23, 2002
- Expired
- September 30, 2022
- License holder
- Mafil Modina Basalo
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
11819 Cramer Rd
Yucaipa, CA 92399-6982
Yucaipa, CA 92399-6982
San Bernardino County