Roland Fritz Blackiston
ExpiredCalifornia license 487070
License
- Licensed by
- California Board of Registered Nursing
- License number
- 487070
- Status
- Expired (Delinquent)
- First issued
- March 31, 1993
- Expired
- September 30, 2004
- License holder
- Roland Fritz Blackiston
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
6559 Mt Ripley Dr
Buena Park, CA 90620
Buena Park, CA 90620
Orange County