Lycia Van Der Westhuizen
ExpiredCalifornia license 630069
License
- Licensed by
- California Board of Registered Nursing
- License number
- 630069
- Status
- Expired (Delinquent)
- First issued
- December 11, 2003
- Expired
- October 31, 2005
- License holder
- Lycia Van Der Westhuizen
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
4723 Florida Ave
Chattanooga, TN 37409
Chattanooga, TN 37409
Hamilton County