Analisa Lajom Baste
ExpiredCalifornia license 630613
License
- Licensed by
- California Board of Registered Nursing
- License number
- 630613
- Status
- Expired (Delinquent)
- First issued
- December 30, 2003
- Expired
- August 31, 2009
- License holder
- Analisa Lajom Baste
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2957 Chippewa Dr
Troy, MI 48085
Troy, MI 48085
Oakland County