Manuel Illescas Santos
ExpiredCalifornia license 15822
License
- Licensed by
- California Physician Assistant Board
- License number
- 15822
- Status
- Expired (Delinquent)
- First issued
- June 22, 1987
- Expired
- June 30, 2001
- License holder
- Manuel Illescas Santos
- 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
ActiveEncino, CAExpires Dec 31, 2027
Contact
13652 Cantara Street
Panorama City, CA 91402
Panorama City, CA 91402
Los Angeles County