Mark Avery Dodge
ExpiredCalifornia license 519497
License
- Licensed by
- California Board of Registered Nursing
- License number
- 519497
- Status
- Expired (Delinquent)
- First issued
- February 20, 1996
- Expired
- May 31, 2023
- License holder
- Mark Avery Dodge
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
633 Encinal Ave
Roseville, CA 95678-1617
Roseville, CA 95678-1617
Placer County