Shane Suzanna Smith
ExpiredCalifornia license 95076067
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95076067
- Status
- Expired (Delinquent)
- First issued
- October 27, 2015
- Expired
- April 30, 2017
- License holder
- Shane Suzanna Smith
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
9323 218th St Apt B8
Queens Village, NY 11428-1809
Queens Village, NY 11428-1809
Queens County