License Directory

Gary Richard Grant

Expired

California license 612567

License

Licensed by
California Board of Registered Nursing
License number
612567
Status
Expired (Delinquent)
First issued
January 30, 2003
Expired
September 30, 2004
License holder
Gary Richard Grant
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

460 Palm Avenue
Lake Helen, FL 32744
Volusia County