Dallas Austin Forshew
ExpiredCalifornia license 650218
License
- Licensed by
- California Board of Registered Nursing
- License number
- 650218
- Status
- Expired (Delinquent)
- First issued
- December 28, 2004
- Expired
- January 31, 2019
- License holder
- Dallas Austin Forshew
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
31 Reed Blvd Apt 13C
Mill Valley, CA 94941-2321
Mill Valley, CA 94941-2321
Marin County