Douglas Gary Heggestad
ExpiredCalifornia 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
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
16423 N. 37th Place
Pheonix, AZ 85032
Pheonix, AZ 85032
Maricopa County