Alexander Jerome Clark
ExpiredCalifornia license 95265119
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95265119
- Status
- Expired (Delinquent)
- First issued
- November 4, 2021
- Expired
- October 31, 2023
- License holder
- Alexander Jerome Clark
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
711 NE 11th St
Bend, OR 97701-4803
Bend, OR 97701-4803
Deschutes County