Phoenix Ta
ExpiredCalifornia license 95072072
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95072072
- Status
- Expired (Delinquent)
- First issued
- September 16, 2015
- Expired
- August 31, 2021
- License holder
- Phoenix Ta
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
413 Fieldstream North Blvd
Orlando, FL 32825-4534
Orlando, FL 32825-4534
Orange County