Mary Puthiyidath Michael
ExpiredCalifornia license 637469
License
- Licensed by
- California Board of Registered Nursing
- License number
- 637469
- Status
- Expired (Delinquent)
- First issued
- May 20, 2004
- Expired
- March 31, 2014
- License holder
- Mary Puthiyidath Michael
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1150 Claraday St
Glendora, CA 91740
Glendora, CA 91740
Los Angeles County