Antonia Amaya Vicencio Jacutin
ExpiredCalifornia license 647543
License
- Licensed by
- California Board of Registered Nursing
- License number
- 647543
- Status
- Expired (Delinquent)
- First issued
- November 5, 2004
- Expired
- September 30, 2024
- License holder
- Antonia Amaya Vicencio Jacutin
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
19983 Santa Maria Ave
Apartment 202
Castro Valley, CA 94546-4261
Apartment 202
Castro Valley, CA 94546-4261
Alameda County