Blake Dewayne Dale Balzum
ActiveCalifornia license 95272783
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95272783
- Status
- Active (Current)
- First issued
- February 3, 2022
- Expires
- December 31, 2027
- License holder
- Blake Dewayne Dale Balzum
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1232 E 2nd St
Apt 5
Long Beach, CA 90802
Apt 5
Long Beach, CA 90802
Los Angeles County