Diane Mary Jackson
ExpiredCalifornia license 619451
License
- Licensed by
- California Board of Registered Nursing
- License number
- 619451
- Status
- Expired (Delinquent)
- First issued
- June 10, 2003
- Expired
- October 31, 2008
- License holder
- Diane Mary Jackson
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2209 Pelham Avenue
Baltimore, MD 21213
Baltimore, MD 21213
Baltimore (City) County