Kathryn Joan Costa
ExpiredCalifornia license 171913
License
- Licensed by
- California Board of Registered Nursing
- License number
- 171913
- Status
- Expired (Delinquent)
- First issued
- January 1, 1966
- Expired
- October 31, 2017
- License holder
- Kathryn Joan Costa
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
15361 Mitchell Creek Drive
Fort Bragg, CA 95437
Fort Bragg, CA 95437
Mendocino County