Modupe Deas McIntosh
ExpiredCalifornia license 95082851
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95082851
- Status
- Expired (Delinquent)
- First issued
- January 29, 2016
- Expired
- July 31, 2017
- License holder
- Modupe Deas McIntosh
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
605 Mountain Hbr
Stone Mountain, GA 30087-6104
Stone Mountain, GA 30087-6104
De Kalb County