Tisha M Mallon
ActiveCalifornia license 636726
License
- Licensed by
- California Board of Registered Nursing
- License number
- 636726
- Status
- Active (Current)
- First issued
- April 29, 2004
- Expires
- January 31, 2028
- License holder
- Tisha M Mallon
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
610 2nd Street
Petaluma, CA 94952
Petaluma, CA 94952
Sonoma County