Charles Jackson Deatherage III
ActiveCalifornia license 95274913
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95274913
- Status
- Active (Current)
- First issued
- February 19, 2022
- Expires
- December 31, 2027
- License holder
- Charles Jackson Deatherage III
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
3542 Pinehill Way
Antelope, CA 95843-5508
Antelope, CA 95843-5508
Sacramento County