License Directory

Jerry Lavern Mahoney

Expired

California license 255190

License

Licensed by
California Board of Registered Nursing
License number
255190
Status
Expired (Delinquent)
First issued
January 1, 1975
Expired
July 31, 2011
License holder
Jerry Lavern Mahoney
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

10551 W. Desert Star Ln.
Peoria, AZ 85382
Maricopa County