Samuel Ross Blachly
ExpiredCalifornia license 95264928
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95264928
- Status
- Expired (Delinquent)
- First issued
- November 3, 2021
- Expired
- January 31, 2023
- License holder
- Samuel Ross Blachly
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
6524 E 87th Pl
Tulsa, OK 74133-5046
Tulsa, OK 74133-5046
Tulsa County