Gwen M Travisano-Fish
ExpiredCalifornia license 629909
License
- Licensed by
- California Board of Registered Nursing
- License number
- 629909
- Status
- Expired (Delinquent)
- First issued
- December 9, 2003
- Expired
- December 31, 2005
- License holder
- Gwen M Travisano-Fish
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
PO Box 1644
Aztec, NM 87410
Aztec, NM 87410
San Juan County