Taiyang Cooper Song
ExpiredCalifornia license 95281784
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95281784
- Status
- Expired (Delinquent)
- First issued
- April 20, 2022
- Expired
- October 31, 2025
- License holder
- Taiyang Cooper Song
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2714 Forest View Dr
Everett, WA 98203-6946
Everett, WA 98203-6946