Muoi Ta
ExpiredCalifornia license 604067
License
- Licensed by
- California Board of Registered Nursing
- License number
- 604067
- Status
- Expired (Delinquent)
- First issued
- August 8, 2002
- Expired
- October 31, 2005
- License holder
- Muoi Ta
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
930 Arch St
Philadelphia, PA 19107
Philadelphia, PA 19107
Philadelphia County