Samuel Steven Mancilla
ExpiredCalifornia license 95081905
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95081905
- Status
- Expired (Delinquent)
- First issued
- January 20, 2016
- Expired
- October 31, 2017
- License holder
- Samuel Steven Mancilla
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
5959 Braeloch Dr
Shreveport, LA 71129-5101
Shreveport, LA 71129-5101
Caddo County