License Directory

Jose Luza Bautista III

Expired

California license 15668

License

Licensed by
California Physician Assistant Board
License number
15668
Status
Expired (Delinquent)
First issued
April 17, 1987
Expired
June 30, 2001
License holder
Jose Luza Bautista III
Entity type
Individual

Classifications

More from the license record

License type code
9503

Other California licenses under this name

Contact

1135 S Sunset Ave
West Covina, CA 91790-3940
Los Angeles County