Mary Katherine Fortner
ExpiredCalifornia license 632951
License
- Licensed by
- California Board of Registered Nursing
- License number
- 632951
- Status
- Expired (Delinquent)
- First issued
- February 20, 2004
- Expired
- September 30, 2005
- License holder
- Mary Katherine Fortner
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
730 Lake Haven Circle
Decatur, TN 37322
Decatur, TN 37322
Meigs County