Shirley A Black
ExpiredCalifornia license 492181
License
- Licensed by
- California Board of Registered Nursing
- License number
- 492181
- Status
- Expired (Delinquent)
- First issued
- August 31, 1993
- Expired
- January 31, 2005
- License holder
- Shirley A Black
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1293 Olive Ave
El Centro, CA 92243
El Centro, CA 92243
Imperial County