Martin Jose Backman
ExpiredCalifornia license 18295
License
- Licensed by
- California Physician Assistant Board
- License number
- 18295
- Status
- Expired (Delinquent)
- First issued
- July 9, 1990
- Expired
- May 31, 2000
- License holder
- Martin Jose Backman
- 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
ActiveFountain Valley, CAExpires Jun 30, 2027
Contact
29923 Quail Run Dr
Agoura Hills, CA 91301
Agoura Hills, CA 91301
Los Angeles County