Lisa Klittivit
ExpiredCalifornia license 196427
License
- Licensed by
- California Board of Registered Nursing
- License number
- 196427
- Status
- Expired (Delinquent)
- First issued
- January 1, 1969
- Expired
- June 30, 2006
- License holder
- Lisa Klittivit
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
7661 El Cerro Dr
Buena Park, CA 90620
Buena Park, CA 90620
Orange County