Wylie Stone Douglass
ActiveCalifornia license 95030099
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95030099
- Status
- Active (Current)
- First issued
- May 13, 2024
- Expires
- June 30, 2027
- License holder
- Wylie Stone Douglass
- Entity type
- Individual
Classifications
- Nurse Practitioner Nursing
More from the license record
- License type code
- 4004
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Contact
2320 Fairfield Way
Upland, CA 91784-8609
Upland, CA 91784-8609