Shawnette Monique Supall
ActiveCalifornia license 616293
License
- Licensed by
- California Board of Registered Nursing
- License number
- 616293
- Status
- Active (Current)
- First issued
- March 28, 2003
- Expires
- August 31, 2028
- License holder
- Shawnette Monique Supall
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
12915 Bordeaux Ct
Rancho Cucamonga, CA 91739-9416
Rancho Cucamonga, CA 91739-9416
San Bernardino County