Russell Jerome Fagnant
ActiveCalifornia license 607063
License
- Licensed by
- California Board of Registered Nursing
- License number
- 607063
- Status
- Active (Current)
- First issued
- September 26, 2002
- Expires
- November 30, 2027
- License holder
- Russell Jerome Fagnant
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
9471 E Merrick Rd
Lava Hot Springs, ID 83246-1529
Lava Hot Springs, ID 83246-1529
Bannock County