Randy Lee Blackmer
ExpiredCalifornia 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
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
737 E Hayward Ave
Phoenix, AZ 85020-4148
Phoenix, AZ 85020-4148
Maricopa County