Ann Louise Hathaway
ExpiredCalifornia license 630857
License
- Licensed by
- California Board of Registered Nursing
- License number
- 630857
- Status
- Expired (Delinquent)
- First issued
- January 6, 2004
- Expired
- October 31, 2005
- License holder
- Ann Louise Hathaway
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
3513 NE 179th Street
Ridgefield, WA 98642
Ridgefield, WA 98642
Clark County