Michael Angelo Bernal Bautista
ExpiredCalifornia license 634360
License
- Licensed by
- California Board of Registered Nursing
- License number
- 634360
- Status
- Expired (Delinquent)
- First issued
- March 15, 2004
- Expired
- February 28, 2006
- License holder
- Michael Angelo Bernal Bautista
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
64 Park Ave
Dumont, NJ 07628-2310
Dumont, NJ 07628-2310
Bergen County