Jenner Russell Black
ActiveCalifornia license 95049817
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95049817
- Status
- Active (Current)
- First issued
- December 15, 2014
- Expires
- January 31, 2027
- License holder
- Jenner Russell Black
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
10345 S Clearview Dr
Sandy, UT 84070-4827
Sandy, UT 84070-4827
Utah County