Jackelyn Ege Formaran
ActiveCalifornia license 95054470
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95054470
- Status
- Active (Current)
- First issued
- February 18, 2015
- Expires
- August 31, 2028
- License holder
- Jackelyn Ege Formaran
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
222 W Linda Vista Ave
Apt C
Alhambra, CA 91801-4761
Apt C
Alhambra, CA 91801-4761
Los Angeles County