SAU-MI PRISCILLA FAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018830

License Status

NOT RENEWED

Business

First Name

SAU-MI

Middle

PRISCILLA

Last Name

FAN

Business Name

SAU-MI PRISCILLA FAN

Original Issue Date

02/16/2019

Effective Date

02/16/2019

Expiration Date

09/30/2020

City

MOUNT ROYAL

State

Zip

08061

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

01/14/2021