License Directory

Keith Leroy Blackburn

Active

California license 611390

License

Licensed by
California Board of Registered Nursing
License number
611390
Status
Active (Current)
First issued
January 2, 2003
Expires
November 30, 2026
License holder
Keith Leroy Blackburn
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

6228 W Ave L-12
Quartz Hill, CA 93536
Los Angeles County