Mary Fantazia
ExpiredCalifornia license 95287589
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95287589
- Status
- Expired (Delinquent)
- First issued
- June 13, 2022
- Expired
- December 31, 2023
- License holder
- Mary Fantazia
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
12712 NW 21st Ave
Vancouver, WA 98685-2330
Vancouver, WA 98685-2330