Latacha Renee Stallard
ExpiredCalifornia license 95059597
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95059597
- Status
- Expired (Delinquent)
- First issued
- April 20, 2015
- Expired
- April 30, 2017
- License holder
- Latacha Renee Stallard
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
726 Zorn Ave
Louisville, KY 40206-1496
Louisville, KY 40206-1496
Jefferson County