Kenneth Charles Lane
ExpiredCalifornia license 17813
License
- Licensed by
- California Physician Assistant Board
- License number
- 17813
- Status
- Expired (Delinquent)
- First issued
- October 16, 1989
- Expired
- June 30, 2001
- License holder
- Kenneth Charles Lane
- 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
ActiveHighland, CAExpires Dec 31, 2028
Contact
9985 Sierra Kaiser Perm
Fontana, CA 92335
Fontana, CA 92335
San Bernardino County