Kathie M Black
ExpiredCalifornia license 162392
License
- Licensed by
- California Board of Registered Nursing
- License number
- 162392
- Status
- Expired (Delinquent)
- First issued
- January 1, 1965
- Expired
- May 31, 2015
- License holder
- Kathie M Black
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
4928 Hoen Avenue
Santa Rosa, CA 95405
Santa Rosa, CA 95405
Sonoma County