Grace L Lane
ExpiredCalifornia license 515814
License
- Licensed by
- California Board of Registered Nursing
- License number
- 515814
- Status
- Expired (Delinquent)
- First issued
- September 15, 1995
- Expired
- April 30, 2017
- License holder
- Grace L Lane
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
380 Harloe Ave Apt 6
Pismo Beach, CA 93449-2204
Pismo Beach, CA 93449-2204
San Luis Obispo County