Edison Servanda Nieto
ExpiredCalifornia license 95266866
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95266866
- Status
- Expired (Delinquent)
- First issued
- November 29, 2021
- Expired
- April 30, 2025
- License holder
- Edison Servanda Nieto
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
8274 183rd St W
Lakeville, MN 55044-4870
Lakeville, MN 55044-4870
Dakota County