Shalene Petrona Blake
ExpiredCalifornia license 650208
License
- Licensed by
- California Board of Registered Nursing
- License number
- 650208
- Status
- Expired (Delinquent)
- First issued
- December 28, 2004
- Expired
- February 29, 2012
- License holder
- Shalene Petrona Blake
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
4805 Queen Palm Ln
Tamarac, FL 33319
Tamarac, FL 33319
Broward County