License Directory

Chasity Ann Petersen

Expired

California license 636196

License

Licensed by
California Board of Registered Nursing
License number
636196
Status
Expired (Delinquent)
First issued
April 15, 2004
Expired
June 30, 2009
License holder
Chasity Ann Petersen
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

2425 Sherwood Ln
San Bernardino, CA 92408
San Bernardino County