Carol Lynn Illich
ExpiredCalifornia license 632807
License
- Licensed by
- California Board of Registered Nursing
- License number
- 632807
- Status
- Expired (Delinquent)
- First issued
- February 19, 2004
- Expired
- December 31, 2011
- License holder
- Carol Lynn Illich
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1045 Brookwood Rd
Phoenixville, PA 19460
Phoenixville, PA 19460
Chester County