Raycor Fortaleza Faderugao
ExpiredCalifornia license 612495
License
- Licensed by
- California Board of Registered Nursing
- License number
- 612495
- Status
- Expired (Delinquent)
- First issued
- January 29, 2003
- Expired
- February 28, 2009
- License holder
- Raycor Fortaleza Faderugao
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2001 Bear Ridge Road
Apt 201
Baltimore, MD 21222
Apt 201
Baltimore, MD 21222
Baltimore County