Issara Mark Pothongsunun
ActiveCalifornia license 95295715
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95295715
- Status
- Active (Current)
- First issued
- July 28, 2022
- Expires
- October 31, 2027
- License holder
- Issara Mark Pothongsunun
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
7417 Vantage Ave
North Hollywood, CA 91605-3652
North Hollywood, CA 91605-3652