Kenosha Latrice Tillman
ExpiredCalifornia license 95028949
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95028949
- Status
- Expired (Delinquent)
- First issued
- February 1, 2024
- Expired
- August 31, 2025
- License holder
- Kenosha Latrice Tillman
- Entity type
- Individual
Classifications
- Nurse Practitioner Nursing
More from the license record
- License type code
- 4004
Other California licenses under this name
-
CA
ExpiredFairburn, GAExpired Aug 31, 2025
-
CA
ActiveFairburn, GAExpires Aug 31, 2027
Contact
5220 Rosewood Pl
Fairburn, GA 30213-5113
Fairburn, GA 30213-5113