Shanen De Jesus Nicolas
ExpiredCalifornia license 197920
License
- Licensed by
- California Board of Registered Nursing
- License number
- 197920
- Status
- Expired (Delinquent)
- First issued
- January 1, 1969
- Expired
- April 30, 2011
- License holder
- Shanen De Jesus Nicolas
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
12541 Agnes Stanley St
Garden Grove, CA 92641
Garden Grove, CA 92641
Orange County