Diemle Thi Phan
ExpiredCalifornia license 624002
License
- Licensed by
- California Board of Registered Nursing
- License number
- 624002
- Status
- Expired (Delinquent)
- First issued
- August 13, 2003
- Expired
- June 30, 2021
- License holder
- Diemle Thi Phan
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
8117 Glenhurst Dr
Fairfax Station, VA 22039-3145
Fairfax Station, VA 22039-3145
Fairfax County