Maria Vida Tan Bergonia
ExpiredCalifornia license 630654
License
- Licensed by
- California Board of Registered Nursing
- License number
- 630654
- Status
- Expired (Delinquent)
- First issued
- December 30, 2003
- Expired
- August 31, 2007
- License holder
- Maria Vida Tan Bergonia
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
91-1035 Kaikauhaa St
Ewa Beach, HI 96706
Ewa Beach, HI 96706
Honolulu County