Jaclyn Marie Machacek
ExpiredCalifornia license 628142
License
- Licensed by
- California Board of Registered Nursing
- License number
- 628142
- Status
- Expired (Delinquent)
- First issued
- October 17, 2003
- Expired
- June 30, 2009
- License holder
- Jaclyn Marie Machacek
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1404 Clovewood Avenue
Modesto, CA 95355
Modesto, CA 95355
Stanislaus County