Mary Jan Mac Innis
ExpiredCalifornia license 186960
License
- Licensed by
- California Board of Registered Nursing
- License number
- 186960
- Status
- Expired (Delinquent)
- First issued
- January 1, 1968
- Expired
- December 31, 2017
- License holder
- Mary Jan Mac Innis
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
9796 Montego Court
Windsor, CA 95492
Windsor, CA 95492
Sonoma County