Van Gregory Dietrich
ExpiredCalifornia license 635853
License
- Licensed by
- California Board of Registered Nursing
- License number
- 635853
- Status
- Expired (Delinquent)
- First issued
- April 7, 2004
- Expired
- December 31, 2011
- License holder
- Van Gregory Dietrich
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
933 Phosphor Ave.
Metairie, LA 70005
Metairie, LA 70005
Jefferson County