Tiana Raine Prokop
ActiveCalifornia license 95060094
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95060094
- Status
- Active (Current)
- First issued
- April 25, 2015
- Expires
- July 31, 2028
- License holder
- Tiana Raine Prokop
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
3049 Tallahassee Ln
Simi Valley, CA 93065-1352
Simi Valley, CA 93065-1352
Ventura County