TANJA L PUCKETT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041213521

License Status

NOT RENEWED

Business

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

City

MARINA DEL RAY

State

Zip

90291

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/27/2006