Jason Diaz
ExpiredCalifornia license 62780
License
- Licensed by
- California Physician Assistant Board
- License number
- 62780
- Status
- Expired (Delinquent)
- First issued
- May 25, 2023
- Expired
- November 30, 2024
- License holder
- Jason Diaz
- Entity type
- Individual
Classifications
- Physician Assistant Physicians & Surgeons
More from the license record
- License type code
- 9501
Other California licenses under this name
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CA
ActiveSan Fernando, CAExpires Sep 30, 2028
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CA
ActiveSan Fernando, CAExpires Aug 31, 2027
Contact
2210 SW 87th Way
Miramar, FL 33025-2020
Miramar, FL 33025-2020
Broward County