License Directory

Vilaisouk Baccam

Expired

California license 615221

License

Licensed by
California Board of Registered Nursing
License number
615221
Status
Expired (Delinquent)
First issued
March 12, 2003
Expired
June 30, 2012
License holder
Vilaisouk Baccam
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

804 South Street
Webster City, IA 50595
Hamilton County