Tia Theresa Mode
ExpiredCalifornia license 235300
License
- Licensed by
- California Board of Registered Nursing
- License number
- 235300
- Status
- Expired (Delinquent)
- First issued
- January 1, 1973
- Expired
- February 28, 2011
- License holder
- Tia Theresa Mode
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
3508 Lost Tree Ln
Martinez, GA 30907
Martinez, GA 30907
Columbia County