Kathleen L Wallace
ExpiredCalifornia license 525597
License
- Licensed by
- California Board of Registered Nursing
- License number
- 525597
- Status
- Expired (Delinquent)
- First issued
- August 21, 1996
- Expired
- September 30, 2004
- License holder
- Kathleen L Wallace
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
29742 Central Ave
Castaic, CA 91384
Castaic, CA 91384
Los Angeles County