License Directory

Randy Lee Blackmer

Expired

California license 648897

License

Licensed by
California Board of Registered Nursing
License number
648897
Status
Expired (Delinquent)
First issued
December 1, 2004
Expired
September 30, 2016
License holder
Randy Lee Blackmer
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

737 E Hayward Ave
Phoenix, AZ 85020-4148
Maricopa County