Mark Edward Detwiler
ExpiredCalifornia license 609172
License
- Licensed by
- California Board of Registered Nursing
- License number
- 609172
- Status
- Expired (Delinquent)
- First issued
- November 13, 2002
- Expired
- December 31, 2013
- License holder
- Mark Edward Detwiler
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
4521 SE Clay St
Portland, OR 97215
Portland, OR 97215
Multnomah County