License Directory

Sudhakar L Reddivalam

Expired

California license 20879

License

Licensed by
California Physician Assistant Board
License number
20879
Status
Expired (Delinquent)
First issued
August 12, 1992
Expired
June 30, 2001
License holder
Sudhakar L Reddivalam
Entity type
Individual

Classifications

More from the license record

License type code
9503

Other California licenses under this name

Contact

9300 Valley Childrens Place
Madera, CA 93638
Madera County