Tollak S Log
ExpiredCalifornia license 526167
License
- Licensed by
- California Board of Registered Nursing
- License number
- 526167
- Status
- Expired (Delinquent)
- First issued
- September 5, 1996
- Expired
- August 31, 2014
- License holder
- Tollak S Log
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2266 Maple Ln
Eureka, CA 95501
Eureka, CA 95501
Humboldt County