Kelley Jene Jacobsen
ExpiredCalifornia license 637167
License
- Licensed by
- California Board of Registered Nursing
- License number
- 637167
- Status
- Expired (Delinquent)
- First issued
- May 10, 2004
- Expired
- March 31, 2018
- License holder
- Kelley Jene Jacobsen
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
3637 W Echo Lane
Phoenix, AZ 85051
Phoenix, AZ 85051
Maricopa County