Michael Wayne Niccole
ExpiredCalifornia license 16320
License
- Licensed by
- California Physician Assistant Board
- License number
- 16320
- Status
- Expired (Delinquent)
- First issued
- February 22, 1988
- Expired
- June 30, 2001
- License holder
- Michael Wayne Niccole
- 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
ActiveNewport Beach, CAExpires Feb 28, 2027
Contact
1101 Bayside Dr
Corona Del Mar, CA 92625-1703
Corona Del Mar, CA 92625-1703
Orange County