Kenneth Wayne Johnson
ExpiredCalifornia license 622890
License
- Licensed by
- California Board of Registered Nursing
- License number
- 622890
- Status
- Expired (Delinquent)
- First issued
- July 29, 2003
- Expired
- October 31, 2014
- License holder
- Kenneth Wayne Johnson
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
3916a Gustine Ave
St Louis, MO 63116
St Louis, MO 63116
Saint Louis City (City) County