Phyllis Annette Havard
ExpiredCalifornia license 612158
License
- Licensed by
- California Board of Registered Nursing
- License number
- 612158
- Status
- Expired (Delinquent)
- First issued
- January 23, 2003
- Expired
- October 31, 2016
- License holder
- Phyllis Annette Havard
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
P. O. Box 2652
West Monroe, LA 71294
West Monroe, LA 71294
Ouachita County