Jack Allen Lafountain
ExpiredCalifornia license 610395
License
- Licensed by
- California Board of Registered Nursing
- License number
- 610395
- Status
- Expired (Delinquent)
- First issued
- December 9, 2002
- Expired
- September 30, 2014
- License holder
- Jack Allen Lafountain
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
PO Box 492
315 E. Ada St
Tipton, OK 73570
315 E. Ada St
Tipton, OK 73570
Tillman County