Ivo Blaze Andric Ang Vicera
ExpiredCalifornia license 95377980
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95377980
- Status
- Expired (Delinquent)
- First issued
- May 6, 2024
- Expired
- January 31, 2026
- License holder
- Ivo Blaze Andric Ang Vicera
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
195 Freestone Road
PO Box 5980
Eagle, CO 81631
PO Box 5980
Eagle, CO 81631
Eagle County