Wayne Burdett Southwick
ExpiredCalifornia license 643388
License
- Licensed by
- California Board of Registered Nursing
- License number
- 643388
- Status
- Expired (Delinquent)
- First issued
- August 20, 2004
- Expired
- November 30, 2013
- License holder
- Wayne Burdett Southwick
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1465 N. Geronimo Rd
Apache Junction, AZ 85119-8968
Apache Junction, AZ 85119-8968