Kyle Jacob DeFouw
ExpiredCalifornia license 95280996
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95280996
- Status
- Expired (Delinquent)
- First issued
- April 13, 2022
- Expired
- June 30, 2023
- License holder
- Kyle Jacob DeFouw
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
12300 NW Barnes Rd
Apartment 501
Portland, OR 97229-5941
Apartment 501
Portland, OR 97229-5941