Kim Susan Black
ExpiredCalifornia license 203761
License
- Licensed by
- California Board of Registered Nursing
- License number
- 203761
- Status
- Expired (Delinquent)
- First issued
- January 1, 1969
- Expired
- July 31, 2009
- License holder
- Kim Susan Black
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
PO Box 2258
Alpine, CA 91903
Alpine, CA 91903
San Diego County