License Directory

Douglas Gary Heggestad

Expired

California license 648969

License

Licensed by
California Board of Registered Nursing
License number
648969
Status
Expired (Delinquent)
First issued
December 2, 2004
Expired
December 31, 2014
License holder
Douglas Gary Heggestad
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

16423 N. 37th Place
Pheonix, AZ 85032
Maricopa County