Evan Brady Theobald
ExpiredCalifornia license 599981
License
- Licensed by
- California Board of Registered Nursing
- License number
- 599981
- Status
- Expired (Delinquent)
- First issued
- June 3, 2002
- Expired
- September 30, 2005
- License holder
- Evan Brady Theobald
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
444 N Amelia Av #16a
San Dimas, CA 91773
San Dimas, CA 91773
Los Angeles County