Carolyn Dorothea Clark
ExpiredCalifornia license 95034098
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95034098
- Status
- Expired (Delinquent)
- First issued
- May 29, 2014
- Expired
- October 31, 2015
- License holder
- Carolyn Dorothea Clark
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
219 E 2nd S
Rexburg, ID 83440-2239
Rexburg, ID 83440-2239
Madison County