Ethel Agnes Taneo Amodia
ExpiredCalifornia license 613448
License
- Licensed by
- California Board of Registered Nursing
- License number
- 613448
- Status
- Expired (Delinquent)
- First issued
- February 10, 2003
- Expired
- June 30, 2010
- License holder
- Ethel Agnes Taneo Amodia
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2035 Paragon Drive
Winston Salem, NC 27127
Winston Salem, NC 27127
Forsyth County