Tammy Kelly Clark
ExpiredCalifornia 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
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
86598 Central Rd
Eugene, OR 97402
Eugene, OR 97402
Lane County