Manuel Decolongon Prieto Jr
ExpiredCalifornia license 633512
License
- Licensed by
- California Board of Registered Nursing
- License number
- 633512
- Status
- Expired (Delinquent)
- First issued
- March 1, 2004
- Expired
- May 31, 2021
- License holder
- Manuel Decolongon Prieto Jr
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
19250 Galloping Hill Rd
Apple Valley, CA 92308-3614
Apple Valley, CA 92308-3614
San Bernardino County