Tae Im Evans
ExpiredCalifornia license 628613
License
- Licensed by
- California Board of Registered Nursing
- License number
- 628613
- Status
- Expired (Delinquent)
- First issued
- October 29, 2003
- Expired
- February 28, 2005
- License holder
- Tae Im Evans
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
4247 Kootnai St W
University Place, WA 98466
University Place, WA 98466
Pierce County