Supaporn Phatdisakkul
ActiveCalifornia license 619240
License
- Licensed by
- California Board of Registered Nursing
- License number
- 619240
- Status
- Active (Current)
- First issued
- June 5, 2003
- Expires
- April 30, 2027
- License holder
- Supaporn Phatdisakkul
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
6505 Youngstown St
Chino, CA 91710-6948
Chino, CA 91710-6948
San Bernardino County