Porferio Suero Basilio Jr
ActiveCalifornia license 642203
License
- Licensed by
- California Board of Registered Nursing
- License number
- 642203
- Status
- Active (Current)
- First issued
- August 4, 2004
- Expires
- February 29, 2028
- License holder
- Porferio Suero Basilio Jr
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
4266 Carnegie Ct
Riverside, CA 92505-3974
Riverside, CA 92505-3974
Riverside County