Percival Domingo Plata
ExpiredCalifornia license 95264238
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95264238
- Status
- Expired (Delinquent)
- First issued
- October 27, 2021
- Expired
- September 30, 2023
- License holder
- Percival Domingo Plata
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2400 Old Fort Rd Apt 325
Missoula, MT 59804-7414
Missoula, MT 59804-7414