Mark Leroy Vanderweide
ExpiredCalifornia license 95072588
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95072588
- Status
- Expired (Delinquent)
- First issued
- September 21, 2015
- Expired
- March 31, 2017
- License holder
- Mark Leroy Vanderweide
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2011 Huron Pkwy Apt 8
Ann Arbor, MI 48104-4162
Ann Arbor, MI 48104-4162
Washtenaw County