TANJA L PUCKETT - Registered Nurse License in California | # 041213521

TANJA L PUCKETT

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041213521

License Status

NOT RENEWED

Business

N

First Name

TANJA L

Last Name

PUCKETT

Business Name

TANJA L PUCKETT

Original Issue Date

11/04/1982

Effective Date

11/04/1982

Expiration Date

05/31/1984

State

CA

Ever Disciplined

N

LastModifiedDate

09/27/2006