Russell Wallace Davis
ExpiredCalifornia license 637063
License
- Licensed by
- California Board of Registered Nursing
- License number
- 637063
- Status
- Expired (Delinquent)
- First issued
- May 7, 2004
- Expired
- June 30, 2008
- License holder
- Russell Wallace Davis
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
204 Country Club
Stansbary, UT 84074
Stansbary, UT 84074
Tooele County