Mary Lou Klisch
ExpiredCalifornia license 211964
License
- Licensed by
- California Board of Registered Nursing
- License number
- 211964
- Status
- Expired (Delinquent)
- First issued
- January 1, 1970
- Expired
- March 31, 2014
- License holder
- Mary Lou Klisch
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1010 Hazelwood Ave.
San Jose, CA 95125
San Jose, CA 95125
Santa Clara County