Amivic Pasco Cuntap Clark
ExpiredCalifornia license 640148
License
- Licensed by
- California Board of Registered Nursing
- License number
- 640148
- Status
- Expired (Delinquent)
- First issued
- July 13, 2004
- Expired
- February 28, 2014
- License holder
- Amivic Pasco Cuntap Clark
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
P.O. Box 147
Seabeck, WA 98380147
Seabeck, WA 98380147
Kitsap County