Jordan Carlton Theobald
ExpiredCalifornia license 95067305
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95067305
- Status
- Expired (Delinquent)
- First issued
- July 27, 2015
- Expired
- February 28, 2021
- License holder
- Jordan Carlton Theobald
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2306 E Monte Vista Rd
Phoenix, AZ 85006-2041
Phoenix, AZ 85006-2041
Maricopa County