Jackson Lisotta
ExpiredCalifornia license 95274311
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95274311
- Status
- Expired (Delinquent)
- First issued
- February 15, 2022
- Expired
- September 30, 2023
- License holder
- Jackson Lisotta
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
11 Canada Hill Dr
Garrison, NY 10524-3028
Garrison, NY 10524-3028
Putnam County