Wylie Scott Clack
ExpiredCalifornia license 642411
License
- Licensed by
- California Board of Registered Nursing
- License number
- 642411
- Status
- Expired (Delinquent)
- First issued
- August 5, 2004
- Expired
- June 30, 2012
- License holder
- Wylie Scott Clack
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1342 Olympic Street
Springfield, OR 97477
Springfield, OR 97477
Lane County