License Directory

Eugene J Basiliere

Expired

California license 16624

License

Licensed by
California Physician Assistant Board
License number
16624
Status
Expired (Delinquent)
First issued
July 25, 1988
Expired
May 31, 1997
License holder
Eugene J Basiliere
Entity type
Individual

Classifications

More from the license record

License type code
9503

Other California licenses under this name

  • CA
    Eugene J Basiliere
    License A42602
    Physician and Surgeon A
    Active
    Bonita, CA
    Expires May 31, 2027

Contact

4004 Beyer Blvd.
San Ysidro, CA 92073
San Diego County