Sally Louise Bergholz
ExpiredCalifornia license 191092
License
- Licensed by
- California Board of Registered Nursing
- License number
- 191092
- Status
- Expired (Delinquent)
- First issued
- January 1, 1968
- Expired
- October 31, 2007
- License holder
- Sally Louise Bergholz
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2222 Stoneman St
Simi Valley, CA 93065
Simi Valley, CA 93065
Ventura County