Jennie Jessica Fan
ActiveCalifornia license 14969
License
- Licensed by
- California State Board of Optometry
- License number
- 14969
- Status
- Active (Current)
- First issued
- January 22, 2024
- Expires
- February 29, 2028
- License holder
- Jennie Jessica Fan
- Entity type
- Individual
Classifications
- Statement of Licensure Vision & Hearing
More from the license record
- License type code
- 4203
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Contact
5050 Laguna Blvd
Suite 113
Elk Grove, CA 95758-4193
Suite 113
Elk Grove, CA 95758-4193