Magdalena Fuentes
ExpiredCalifornia license 15287
License
- Licensed by
- California State Board of Optometry
- License number
- 15287
- Status
- Expired (Delinquent)
- First issued
- May 22, 2024
- Expired
- December 31, 2024
- License holder
- Magdalena Fuentes
- Entity type
- Individual
Classifications
- Statement of Licensure Vision & Hearing
More from the license record
- License type code
- 4203
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Contact
600 Ash St
Susanville, CA 96130-3714
Susanville, CA 96130-3714
Lassen County