Derrica Tracey Moore
ExpiredCalifornia license 638398
License
- Licensed by
- California Board of Registered Nursing
- License number
- 638398
- Status
- Expired (Delinquent)
- First issued
- June 10, 2004
- Expired
- June 30, 2012
- License holder
- Derrica Tracey Moore
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
313 Treymore Ave NW
Huntsville, AL 35811
Huntsville, AL 35811
Madison County