Gardenia Medina Shrine
ExpiredCalifornia license 631254
License
- Licensed by
- California Board of Registered Nursing
- License number
- 631254
- Status
- Expired (Delinquent)
- First issued
- January 20, 2004
- Expired
- July 31, 2013
- License holder
- Gardenia Medina Shrine
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1312 Timber Run Dr
Saint Louis, MO 63146-4427
Saint Louis, MO 63146-4427
St. Louis County