Theresa Ellen Waller
ExpiredCalifornia license 621211
License
- Licensed by
- California Board of Registered Nursing
- License number
- 621211
- Status
- Expired (Delinquent)
- First issued
- July 8, 2003
- Expired
- March 31, 2019
- License holder
- Theresa Ellen Waller
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2427 Francisco Dr
Newport Beach, CA 92660-3734
Newport Beach, CA 92660-3734
Orange County