Shannon Marie Blacketer
ExpiredCalifornia license 604031
License
- Licensed by
- California Board of Registered Nursing
- License number
- 604031
- Status
- Expired (Delinquent)
- First issued
- August 8, 2002
- Expired
- July 31, 2014
- License holder
- Shannon Marie Blacketer
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
3090 Hozoni Rd
Prescott, AZ 86305
Prescott, AZ 86305
Yavapai County