McIntosh Gannon
ExpiredCalifornia license 596805
License
- Licensed by
- California Board of Registered Nursing
- License number
- 596805
- Status
- Expired (Delinquent)
- First issued
- March 26, 2002
- Expired
- July 31, 2005
- License holder
- McIntosh Gannon
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
630 Quintana Rd
#104
Morro Bay, CA 93442
#104
Morro Bay, CA 93442
San Luis Obispo County