Mary T Chupa
ExpiredCalifornia license 160454
License
- Licensed by
- California Board of Registered Nursing
- License number
- 160454
- Status
- Expired (Delinquent)
- First issued
- January 1, 1965
- Expired
- November 30, 2004
- License holder
- Mary T Chupa
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
412 Carrera Drive
Lady Lake, FL 32159-9298
Lady Lake, FL 32159-9298
Lake County