Juan Asilo Agena Jr
ExpiredCalifornia license 634938
License
- Licensed by
- California Board of Registered Nursing
- License number
- 634938
- Status
- Expired (Delinquent)
- First issued
- March 24, 2004
- Expired
- August 31, 2005
- License holder
- Juan Asilo Agena Jr
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1885 Somerset Drive
Apt 1c
Glendale Heights, IL 60139
Apt 1c
Glendale Heights, IL 60139
Du Page County