License Directory

Lea Baltazar Requillas

Active

California license 622643

License

Licensed by
California Board of Registered Nursing
License number
622643
Status
Active (Current)
First issued
July 28, 2003
Expires
May 31, 2027
License holder
Lea Baltazar Requillas
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

10218 Bridgeview Ln
Stockton, CA 95219-7279
San Joaquin County