Cornell Susan Bastarache
ExpiredCalifornia license 228695
License
- Licensed by
- California Board of Registered Nursing
- License number
- 228695
- Status
- Expired (Delinquent)
- First issued
- January 1, 1972
- Expired
- January 31, 2016
- License holder
- Cornell Susan Bastarache
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Other California licenses under this name
-
CA
ExpiredLa Jolla, CAExpired Jan 31, 2016
-
CA
ExpiredLa Jolla, CAExpired Jan 31, 2010
Contact
7677 Hillside Dr
La Jolla, CA 92037
La Jolla, CA 92037
San Diego County