Eugene J Basiliere
ExpiredCalifornia 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
- pab/SA Sa Physicians & Surgeons
More from the license record
- License type code
- 9503
Other California licenses under this name
-
CA
ActiveBonita, CAExpires May 31, 2027
Contact
4004 Beyer Blvd.
San Ysidro, CA 92073
San Ysidro, CA 92073
San Diego County