Stacey Marie Dominguez
ExpiredCalifornia license 623470
License
- Licensed by
- California Board of Registered Nursing
- License number
- 623470
- Status
- Expired (Delinquent)
- First issued
- August 6, 2003
- Expired
- August 31, 2007
- License holder
- Stacey Marie Dominguez
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
441 Linden Ave
Bogota, NJ 07603
Bogota, NJ 07603
Bergen County