Jacob Lopez
ActiveCalifornia license 59974
License
- Licensed by
- California Physician Assistant Board
- License number
- 59974
- Status
- Active (Current)
- First issued
- August 26, 2021
- Expires
- August 31, 2027
- License holder
- Jacob Lopez
- Entity type
- Individual
Classifications
- Physician Assistant Physicians & Surgeons
More from the license record
- License type code
- 9501
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Contact
800 5th AVE
Ste 300
Fort Worth, TX 76104
Ste 300
Fort Worth, TX 76104
Tarrant County