Glenn Defacto Basinang
ActiveCalifornia license 649199
License
- Licensed by
- California Board of Registered Nursing
- License number
- 649199
- Status
- Active (Current)
- First issued
- December 7, 2004
- Expires
- January 31, 2027
- License holder
- Glenn Defacto Basinang
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
59 Shipley Ave
Daly City, CA 94015-2712
Daly City, CA 94015-2712
San Mateo County