Tana Marie Black
ExpiredCalifornia license 614765
License
- Licensed by
- California Board of Registered Nursing
- License number
- 614765
- Status
- Expired (Delinquent)
- First issued
- March 3, 2003
- Expired
- August 31, 2008
- License holder
- Tana Marie Black
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
511 Roberts St
Apt 5
Reno, NV 89502
Apt 5
Reno, NV 89502
Washoe County