Ram Mudiyam
ExpiredCalifornia license 15817
License
- Licensed by
- California Physician Assistant Board
- License number
- 15817
- Status
- Expired (Delinquent)
- First issued
- June 22, 1987
- Expired
- June 30, 2001
- License holder
- Ram Mudiyam
- Entity type
- Individual
Classifications
- pab/SA Sa Physicians & Surgeons
More from the license record
- License type code
- 9503
Other California licenses under this name
-
CA
ActiveHuntington Beach, CAExpires Dec 31, 2027
Contact
11100 Warner Ave #368
Fountain Valley, CA 92708
Fountain Valley, CA 92708
Orange County