Israel Ajirico T Mangaba
ExpiredCalifornia license 623763
License
- Licensed by
- California Board of Registered Nursing
- License number
- 623763
- Status
- Expired (Delinquent)
- First issued
- August 11, 2003
- Expired
- February 28, 2005
- License holder
- Israel Ajirico T Mangaba
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
9345 N Western Ave
Niles, IL 60714-5130
Niles, IL 60714-5130
Cook County