Jerry Wayne Douglas
ActiveCalifornia license 630884
License
- Licensed by
- California Board of Registered Nursing
- License number
- 630884
- Status
- Active (Current)
- First issued
- January 6, 2004
- Expires
- January 31, 2028
- License holder
- Jerry Wayne Douglas
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
3337 W Brady Ave
Anaheim, CA 92804-4702
Anaheim, CA 92804-4702
Orange County