License Directory

Mark Edward Detwiler

Expired

California 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

More from the license record

License type code
4001

Contact

4521 SE Clay St
Portland, OR 97215
Multnomah County