Jack Douglas Higginbotham
ExpiredCalifornia license 641214
License
- Licensed by
- California Board of Registered Nursing
- License number
- 641214
- Status
- Expired (Delinquent)
- First issued
- July 23, 2004
- Expired
- October 31, 2005
- License holder
- Jack Douglas Higginbotham
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
4253 129th Pl SE
Apt 2
Bellevue, WA 98006
Apt 2
Bellevue, WA 98006
King County