Alicia Revellame Concha
ExpiredCalifornia license 625879
License
- Licensed by
- California Board of Registered Nursing
- License number
- 625879
- Status
- Expired (Delinquent)
- First issued
- September 12, 2003
- Expired
- December 31, 2014
- License holder
- Alicia Revellame Concha
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
923 N. Mentor Avenue
Pasadena, CA 91104
Pasadena, CA 91104
Los Angeles County