License Directory

Tammy Kelly Clark

Expired

California license 647842

License

Licensed by
California Board of Registered Nursing
License number
647842
Status
Expired (Delinquent)
First issued
November 10, 2004
Expired
May 31, 2006
License holder
Tammy Kelly Clark
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

86598 Central Rd
Eugene, OR 97402
Lane County