Lewis Dale Fannon Jr
ActiveCalifornia license 23521
License
- Licensed by
- California Board of Registered Nursing
- License number
- 23521
- Status
- Active (Current)
- First issued
- September 30, 2013
- Expires
- July 31, 2027
- License holder
- Lewis Dale Fannon Jr
- Entity type
- Individual
Classifications
- Nurse Practitioner Furnishing Nursing
More from the license record
- License type code
- 4005
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Contact
1243 3rd Ave
San Francisco, CA 94122-2704
San Francisco, CA 94122-2704
San Francisco County