Dominic Richard Puckett
ExpiredCalifornia license 605981
License
- Licensed by
- California Board of Registered Nursing
- License number
- 605981
- Status
- Expired (Delinquent)
- First issued
- September 4, 2002
- Expired
- February 29, 2008
- License holder
- Dominic Richard Puckett
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2400 7th Av North
Great Falls, MT 59401
Great Falls, MT 59401
Cascade County