Fanchon E Wallace
ActiveCalifornia license 527979
License
- Licensed by
- California Board of Registered Nursing
- License number
- 527979
- Status
- Active (Current)
- First issued
- November 15, 1996
- Expires
- March 31, 2028
- License holder
- Fanchon E Wallace
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
4999 Norway Dr
Ventura, CA 93001-1149
Ventura, CA 93001-1149
Ventura County