Shelly Gautam
ExpiredCalifornia license 95049654
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95049654
- Status
- Expired (Delinquent)
- First issued
- December 11, 2014
- Expired
- March 31, 2022
- License holder
- Shelly Gautam
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
7660 Cahoon Dr SE
Grand Rapids, MI 49546-9160
Grand Rapids, MI 49546-9160
Kent County