SUPATANEE VERADITTAKIT
Nursing at Vincennes St, Northridge, CA

License number
Florida 1782412
Issued Date
Dec 22, 1986
Effective Date
Jan 1, 1901
Expiration Date
Apr 30, 1997
Category
Health Care
Type
Registered Nurse
Address
Address
15909 Vincennes St, Northridge, CA 91343
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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