Carmen R Fortin
ExpiredCalifornia license 202067
License
- Licensed by
- California Board of Registered Nursing
- License number
- 202067
- Status
- Expired (Delinquent)
- First issued
- January 1, 1969
- Expired
- August 31, 2011
- License holder
- Carmen R Fortin
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
12428 Eckleson St
Cerritos, CA 90703
Cerritos, CA 90703
Los Angeles County