Richard Ty Stavely
ExpiredCalifornia license 511677
License
- Licensed by
- California Board of Registered Nursing
- License number
- 511677
- Status
- Expired (Delinquent)
- First issued
- May 25, 1995
- Expired
- September 30, 2024
- License holder
- Richard Ty Stavely
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
3255 S Atlantic Ave Apt 101
Daytona Beach Shores, FL 32118-6244
Daytona Beach Shores, FL 32118-6244
Volusia County