Susan Imelda Ivancic
ExpiredCalifornia license 172329
License
- Licensed by
- California Board of Registered Nursing
- License number
- 172329
- Status
- Expired (Delinquent)
- First issued
- January 1, 1966
- Expired
- March 31, 2014
- License holder
- Susan Imelda Ivancic
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Other California licenses under this name
-
CA
ExpiredSan Rafael, CAExpired Mar 31, 2014
Contact
336 Orange Blossom Ln
San Rafael, CA 94903
San Rafael, CA 94903
Marin County