Beverly Fay Shade
ExpiredCalifornia license 472513
License
- Licensed by
- California Board of Registered Nursing
- License number
- 472513
- Status
- Expired (Delinquent)
- First issued
- October 31, 1991
- Expired
- September 30, 2015
- License holder
- Beverly Fay Shade
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2139 Yellowstone Ave.
Tracy, CA 95377
Tracy, CA 95377
San Joaquin County