Blaine Russell Fisk
ExpiredCalifornia license 95059581
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95059581
- Status
- Expired (Delinquent)
- First issued
- April 20, 2015
- Expired
- October 31, 2018
- License holder
- Blaine Russell Fisk
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2202 Ridge Rd
Fruitvale, ID 83612-5014
Fruitvale, ID 83612-5014
Adams County