Susan Diane Buccellato
ExpiredCalifornia license 465561
License
- Licensed by
- California Board of Registered Nursing
- License number
- 465561
- Status
- Expired (Delinquent)
- First issued
- April 30, 1991
- Expired
- July 31, 2012
- License holder
- Susan Diane Buccellato
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
7314 Pine Ln
Waterford, WI 53185
Waterford, WI 53185
Racine County