WILSON J FONG Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209032578

License Status

INACTIVE

Business

First Name

WILSON

Middle

Last Name

FONG

Business Name

WILSON J FONG

Original Issue Date

06/20/2025

Effective Date

06/20/2025

Expiration Date

05/31/2026

City

ALAMEDA

State

Zip

94502

Ever Disciplined

LastModifiedDate

06/20/2025