Mary Diobeth Mondonedo Baxa
ExpiredCalifornia license 95390121
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95390121
- Status
- Expired (Delinquent)
- First issued
- August 5, 2024
- Expired
- September 30, 2025
- License holder
- Mary Diobeth Mondonedo Baxa
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
4715 Leo Pl
Macon, GA 31210-3001
Macon, GA 31210-3001
Bibb County