License Directory

Jennifer Rae Domier

Expired

California license 643204

License

Licensed by
California Board of Registered Nursing
License number
643204
Status
Expired (Delinquent)
First issued
August 18, 2004
Expired
July 31, 2008
License holder
Jennifer Rae Domier
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

14687 US Hwy 75 SW
Euclid, MN 56722
Polk County