Phillip Roy Forrest
ExpiredCalifornia license 220710
License
- Licensed by
- California Board of Registered Nursing
- License number
- 220710
- Status
- Expired (Delinquent)
- First issued
- December 31, 1971
- Expired
- August 31, 2023
- License holder
- Phillip Roy Forrest
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2834 Lillie Ave
Kingman, AZ 86401-5347
Kingman, AZ 86401-5347
Mohave County