Tally Revital Breitstein
ExpiredCalifornia license 518649
License
- Licensed by
- California Board of Registered Nursing
- License number
- 518649
- Status
- Expired (Delinquent)
- First issued
- January 19, 1996
- Expired
- September 30, 2015
- License holder
- Tally Revital Breitstein
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
6101 Woodland View Dr
Woodland Hills, CA 91367
Woodland Hills, CA 91367
Los Angeles County