License Directory

Jacob De La Rosa

Active

California license A64804

License

Licensed by
Medical Board of California
License number
A64804
Status
Active (Current)
First issued
April 10, 1998
Expires
February 29, 2028
License holder
Jacob De La Rosa
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

3500 McCaleb Dr
Pocatello, ID 83201-8026
Bannock County