Grace Tamu Fomunung
ExpiredCalifornia license 95019573
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95019573
- Status
- Expired (Delinquent)
- First issued
- December 24, 2021
- Expired
- November 30, 2022
- License holder
- Grace Tamu Fomunung
- Entity type
- Individual
Classifications
- Nurse Practitioner Nursing
More from the license record
- License type code
- 4004
Other California licenses under this name
-
CA
ExpiredDacula, GAExpired Nov 30, 2022
-
CA
ExpiredDacula, GAExpired Nov 30, 2022
Contact
3206 Thimbleberry Trail,
Dacula, GA 30019
Dacula, GA 30019
Gwinnett County