Russell Gene Lewis
ExpiredCalifornia license 617896
License
- Licensed by
- California Board of Registered Nursing
- License number
- 617896
- Status
- Expired (Delinquent)
- First issued
- April 30, 2003
- Expired
- February 28, 2017
- License holder
- Russell Gene Lewis
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
5595 Buck Ward Rd
Baker, FL 32531
Baker, FL 32531
Okaloosa County