Theodora D Jackson
ExpiredCalifornia license 171749
License
- Licensed by
- California Board of Registered Nursing
- License number
- 171749
- Status
- Expired (Delinquent)
- First issued
- January 1, 1966
- Expired
- November 30, 2013
- License holder
- Theodora D Jackson
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
PO Box 731722
Puyallup, WA 98373
Puyallup, WA 98373
Pierce County