License Directory

Kelly Kentner Lake

Expired

California 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

More from the license record

License type code
4001

Contact

6429 Peinado Wy
San Diego, CA 92121
San Diego County