Phyllis Baxter
ExpiredCalifornia license 643044
License
- Licensed by
- California Board of Registered Nursing
- License number
- 643044
- Status
- Expired (Delinquent)
- First issued
- August 16, 2004
- Expired
- August 31, 2006
- License holder
- Phyllis Baxter
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
21 County Rd 3323
Aztec, NM 87410
Aztec, NM 87410
San Juan County