Mallory Kendal Otto
ExpiredCalifornia license 95064062
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95064062
- Status
- Expired (Delinquent)
- First issued
- June 22, 2015
- Expired
- July 31, 2017
- License holder
- Mallory Kendal Otto
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
88 Marion Dr
Evergreen, CO 80439-4311
Evergreen, CO 80439-4311
Jefferson County