Chavi Agtuca Mendez
ExpiredCalifornia license 636009
License
- Licensed by
- California Board of Registered Nursing
- License number
- 636009
- Status
- Expired (Delinquent)
- First issued
- April 12, 2004
- Expired
- May 31, 2010
- License holder
- Chavi Agtuca Mendez
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
507 Westwood Av
Staten Island, NY 10314
Staten Island, NY 10314
Richmond County