Carson Ray Fowlkes
ExpiredCalifornia license 645764
License
- Licensed by
- California Board of Registered Nursing
- License number
- 645764
- Status
- Expired (Delinquent)
- First issued
- September 30, 2004
- Expired
- December 31, 2005
- License holder
- Carson Ray Fowlkes
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
5117 N Minnesota Ave
Portland, OR 97217-3734
Portland, OR 97217-3734
Multnomah County