Konica S Shannon
ExpiredCalifornia license 645974
License
- Licensed by
- California Board of Registered Nursing
- License number
- 645974
- Status
- Expired (Delinquent)
- First issued
- October 5, 2004
- Expired
- August 31, 2014
- License holder
- Konica S Shannon
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1015 13th Ave
Northport, AL 35476
Northport, AL 35476
Tuscaloosa County