Roderick Phua Miclat
ExpiredCalifornia license 617417
License
- Licensed by
- California Board of Registered Nursing
- License number
- 617417
- Status
- Expired (Delinquent)
- First issued
- April 21, 2003
- Expired
- February 28, 2015
- License holder
- Roderick Phua Miclat
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
19W736 13th Pl
Apt B
Lombard, IL 60148-4505
Apt B
Lombard, IL 60148-4505
Du Page County