Anise Marie Black
ExpiredCalifornia license 639334
License
- Licensed by
- California Board of Registered Nursing
- License number
- 639334
- Status
- Expired (Delinquent)
- First issued
- July 1, 2004
- Expired
- September 30, 2017
- License holder
- Anise Marie Black
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
7319 Woodmill Way NW
Madison, AL 35757-7942
Madison, AL 35757-7942
Madison County