Jean Marie La Fountain
ExpiredCalifornia license 274829
License
- Licensed by
- California Board of Registered Nursing
- License number
- 274829
- Status
- Expired (Delinquent)
- First issued
- January 1, 1977
- Expired
- September 30, 2012
- License holder
- Jean Marie La Fountain
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Other California licenses under this name
-
CA
ExpiredFort Bragg, CAExpired Sep 30, 2012
Contact
21590 Forster Lane
Fort Bragg, CA 95437
Fort Bragg, CA 95437
Mendocino County