Clarence Elbert Self
ExpiredCalifornia license 95267284
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95267284
- Status
- Expired (Delinquent)
- First issued
- December 2, 2021
- Expired
- November 30, 2023
- License holder
- Clarence Elbert Self
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
6508 28th St
Berwyn, IL 60402-2786
Berwyn, IL 60402-2786