Theodora M Cossack
ExpiredCalifornia license 268015
License
- Licensed by
- California Board of Registered Nursing
- License number
- 268015
- Status
- Expired (Delinquent)
- First issued
- August 31, 1976
- Expired
- April 30, 2020
- License holder
- Theodora M Cossack
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
230 Bethany Rd Apt 106
Burbank, CA 91504-4254
Burbank, CA 91504-4254
Los Angeles County