Mae Tempie Octavia Stagg
ExpiredCalifornia license 640910
License
- Licensed by
- California Board of Registered Nursing
- License number
- 640910
- Status
- Expired (Delinquent)
- First issued
- July 21, 2004
- Expired
- February 28, 2014
- License holder
- Mae Tempie Octavia Stagg
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
PO Box 963
Opelousas, LA 70571
Opelousas, LA 70571
St. Landry County