License Directory

Genia Guido Blake

Expired

California license 258673

License

Licensed by
California Board of Registered Nursing
License number
258673
Status
Expired (Delinquent)
First issued
January 1, 1975
Expired
September 30, 2010
License holder
Genia Guido Blake
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

1071 N Shore Dr
Detroit Lakes, MN 56501-4208
Becker County