Corey Dustin Fagan
ExpiredCalifornia license 626512
License
- Licensed by
- California Board of Registered Nursing
- License number
- 626512
- Status
- Expired (Delinquent)
- First issued
- September 22, 2003
- Expired
- September 30, 2005
- License holder
- Corey Dustin Fagan
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
5425 Naaman Forest
Apt 534
Garland, TX 75044
Apt 534
Garland, TX 75044
Dallas County