Mary Ann Broussard
ExpiredCalifornia license 257638
License
- Licensed by
- California Board of Registered Nursing
- License number
- 257638
- Status
- Expired (Delinquent)
- First issued
- January 1, 1975
- Expired
- March 31, 2023
- License holder
- Mary Ann Broussard
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
17 Crater Lake Way
Pacifica, CA 94044-4441
Pacifica, CA 94044-4441
San Mateo County