Charlene Itsuyo Black
ExpiredCalifornia license 205627
License
- Licensed by
- California Board of Registered Nursing
- License number
- 205627
- Status
- Expired (Delinquent)
- First issued
- January 1, 1970
- Expired
- July 31, 2017
- License holder
- Charlene Itsuyo Black
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
460 NE Bellevue Dr Apt 209
Bend, OR 97701-7429
Bend, OR 97701-7429
Deschutes County