Elijah Taylor Lane
ExpiredCalifornia license 95290864
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95290864
- Status
- Expired (Delinquent)
- First issued
- July 5, 2022
- Expired
- September 30, 2025
- License holder
- Elijah Taylor Lane
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
11212 NW 111th St
Yukon, OK 73099-8032
Yukon, OK 73099-8032