Lotus Mabitad Brazal
ExpiredCalifornia license 623897
License
- Licensed by
- California Board of Registered Nursing
- License number
- 623897
- Status
- Expired (Delinquent)
- First issued
- August 12, 2003
- Expired
- March 31, 2007
- License holder
- Lotus Mabitad Brazal
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
31433 Mound Rd Apt E
Warren, MI 48092
Warren, MI 48092
Macomb County