License Directory

Phyllis Baxter

Expired

California 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

More from the license record

License type code
4001

Contact

21 County Rd 3323
Aztec, NM 87410
San Juan County