Tia Leatrice Ellis
ActiveCalifornia license 95252230
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95252230
- Status
- Active (Current)
- First issued
- July 9, 2021
- Expires
- September 30, 2028
- License holder
- Tia Leatrice Ellis
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
15850 42nd Ave
Clearlake, CA 95422-9483
Clearlake, CA 95422-9483
Lake County