Annalyce Josephine Lasource
InactiveCalifornia license 640381
License
- Licensed by
- California Board of Registered Nursing
- License number
- 640381
- Status
- Inactive (CurrentInactive)
- First issued
- July 15, 2004
- Expires
- March 31, 2028
- License holder
- Annalyce Josephine Lasource
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
8191 Mill Station Rd
Sebastopol, CA 95472-2564
Sebastopol, CA 95472-2564
Sonoma County