Jacob De La Rosa
ActiveCalifornia 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
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
3500 McCaleb Dr
Pocatello, ID 83201-8026
Pocatello, ID 83201-8026
Bannock County