Marie Martha Southgate
ExpiredCalifornia license 154162
License
- Licensed by
- California Board of Registered Nursing
- License number
- 154162
- Status
- Expired (Delinquent)
- First issued
- January 1, 1964
- Expired
- August 31, 2004
- License holder
- Marie Martha Southgate
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2104 Burgener Blvd
San Diego, CA 92110
San Diego, CA 92110
San Diego County