License Directory

Katie Marie Lallensack

Expired

California license 646436

License

Licensed by
California Board of Registered Nursing
License number
646436
Status
Expired (Delinquent)
First issued
October 14, 2004
Expired
March 31, 2012
License holder
Katie Marie Lallensack
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

2461 N. Main St.
#2
Oshkosh, WI 54901
Winnebago County