Sumin Petilla Park
ExpiredCalifornia license 95033558
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95033558
- Status
- Expired (Delinquent)
- First issued
- May 22, 2014
- Expired
- December 31, 2015
- License holder
- Sumin Petilla Park
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1262 La Jolla Way
Madera, CA 93638-1773
Madera, CA 93638-1773
Madera County