Tye Rio Depena
ActiveCalifornia license A60990
License
- Licensed by
- Medical Board of California
- License number
- A60990
- Status
- Active (Current)
- First issued
- October 4, 1996
- Expires
- October 31, 2028
- License holder
- Tye Rio Depena
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Other California licenses under this name
-
CA
ExpiredSanta Cruz, CAExpired Jun 30, 2001
Contact
2030 N Pacific Ave Ste E
Santa Cruz, CA 95060-7602
Santa Cruz, CA 95060-7602
Santa Cruz County