Susan Puckett Martin
ExpiredCalifornia license 637659
License
- Licensed by
- California Board of Registered Nursing
- License number
- 637659
- Status
- Expired (Delinquent)
- First issued
- May 25, 2004
- Expired
- February 29, 2012
- License holder
- Susan Puckett Martin
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
5067 Old Cluster Springs Rd
S Boston, VA 24592-7079
S Boston, VA 24592-7079
Halifax County