Benjamin Lacy Rose
ExpiredCalifornia license 95080853
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95080853
- Status
- Expired (Delinquent)
- First issued
- December 29, 2015
- Expired
- June 30, 2019
- License holder
- Benjamin Lacy Rose
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2620 Grayland Ave
Richmond, VA 23220-5102
Richmond, VA 23220-5102
Richmond (City) County