Helena Monica Bascom
ExpiredCalifornia license 626112
License
- Licensed by
- California Board of Registered Nursing
- License number
- 626112
- Status
- Expired (Delinquent)
- First issued
- September 16, 2003
- Expired
- January 31, 2009
- License holder
- Helena Monica Bascom
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
6815 Wynview Cove
Stone Mountain, GA 30087
Stone Mountain, GA 30087
De Kalb County