Ethan Allen Berry
ExpiredCalifornia license 620067
License
- Licensed by
- California Board of Registered Nursing
- License number
- 620067
- Status
- Expired (Delinquent)
- First issued
- June 20, 2003
- Expired
- August 31, 2006
- License holder
- Ethan Allen Berry
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
444 N Amelia Ave 16g
San Dimas, CA 91773
San Dimas, CA 91773
Los Angeles County