Revelie Dawn Maddox
ExpiredCalifornia license 612107
License
- Licensed by
- California Board of Registered Nursing
- License number
- 612107
- Status
- Expired (Delinquent)
- First issued
- January 22, 2003
- Expired
- September 30, 2016
- License holder
- Revelie Dawn Maddox
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
400 Riverfront Blvd Apt 424
Elmwood Park, NJ 07407-3611
Elmwood Park, NJ 07407-3611
Bergen County