Mavis Dewornia Prude
ExpiredCalifornia license 612753
License
- Licensed by
- California Board of Registered Nursing
- License number
- 612753
- Status
- Expired (Delinquent)
- First issued
- January 30, 2003
- Expired
- November 30, 2008
- License holder
- Mavis Dewornia Prude
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
P O Box 594
Verona, MS 38879
Verona, MS 38879
Lee County