Diane Marie Modiste
ExpiredCalifornia license 520662
License
- Licensed by
- California Board of Registered Nursing
- License number
- 520662
- Status
- Expired (Delinquent)
- First issued
- March 21, 1996
- Expired
- November 30, 2019
- License holder
- Diane Marie Modiste
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
6542 Eaton Ct
Granite Bay, CA 95746
Granite Bay, CA 95746
Placer County