Burt Kenneth Ellis
ExpiredCalifornia license 238611
License
- Licensed by
- California Board of Registered Nursing
- License number
- 238611
- Status
- Expired (Delinquent)
- First issued
- January 1, 1973
- Expired
- December 31, 2017
- License holder
- Burt Kenneth Ellis
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
221 Ridgecrest Dr
Roseburg, OR 97470
Roseburg, OR 97470
Douglas County