Kelly Kentner Lake
ExpiredCalifornia license 514065
License
- Licensed by
- California Board of Registered Nursing
- License number
- 514065
- Status
- Expired (Delinquent)
- First issued
- August 8, 1995
- Expired
- June 30, 2005
- License holder
- Kelly Kentner Lake
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
6429 Peinado Wy
San Diego, CA 92121
San Diego, CA 92121
San Diego County