Jacquelyn Michelle Broussard
ExpiredCalifornia license 649161
License
- Licensed by
- California Board of Registered Nursing
- License number
- 649161
- Status
- Expired (Delinquent)
- First issued
- December 6, 2004
- Expired
- December 31, 2006
- License holder
- Jacquelyn Michelle Broussard
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
83 Hillview Lane
Perryville, MO 63775
Perryville, MO 63775
Perry County