Shannon Tara Mains
ExpiredCalifornia license 646408
License
- Licensed by
- California Board of Registered Nursing
- License number
- 646408
- Status
- Expired (Delinquent)
- First issued
- October 14, 2004
- Expired
- November 30, 2017
- License holder
- Shannon Tara Mains
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
15205 NE 102nd Way
Vancouver, WA 98682-1942
Vancouver, WA 98682-1942
Clark County