Brooke Marie Black
ExpiredCalifornia license 647786
License
- Licensed by
- California Board of Registered Nursing
- License number
- 647786
- Status
- Expired (Delinquent)
- First issued
- November 10, 2004
- Expired
- May 31, 2014
- License holder
- Brooke Marie Black
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2398 E Bramble Way
Holladay, UT 84117
Holladay, UT 84117
Salt Lake County