Clark Leroy Gustafson
ExpiredCalifornia license 628991
License
- Licensed by
- California Board of Registered Nursing
- License number
- 628991
- Status
- Expired (Delinquent)
- First issued
- November 10, 2003
- Expired
- October 31, 2011
- License holder
- Clark Leroy Gustafson
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
4233 W John Day Place
Kennewick, WA 99336
Kennewick, WA 99336
Benton County