John David Stack
ActiveCalifornia license 13683
License
- Licensed by
- California Physician Assistant Board
- License number
- 13683
- Status
- Active (Current)
- First issued
- January 8, 1996
- Expires
- November 30, 2027
- License holder
- John David Stack
- Entity type
- Individual
Classifications
- Physician Assistant Physicians & Surgeons
More from the license record
- License type code
- 9501
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Contact
25289 2nd Ave
Los Molinos, CA 96055-9671
Los Molinos, CA 96055-9671
Tehama County