Vivian Alexanderia Staine
ExpiredCalifornia license 95076861
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95076861
- Status
- Expired (Delinquent)
- First issued
- November 4, 2015
- Expired
- May 31, 2017
- License holder
- Vivian Alexanderia Staine
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
3721 W 54th St
Tulsa, OK 74107-9515
Tulsa, OK 74107-9515
Oklahoma County