Andrea Portacio Equibal
ExpiredCalifornia license 636487
License
- Licensed by
- California Board of Registered Nursing
- License number
- 636487
- Status
- Expired (Delinquent)
- First issued
- April 23, 2004
- Expired
- February 29, 2008
- License holder
- Andrea Portacio Equibal
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
18437 Prairie St Apt 218
Northridge, CA 91325
Northridge, CA 91325
Los Angeles County