License Directory

Ireneo Basco Lazo

Expired

California license 21086

License

Licensed by
California Physician Assistant Board
License number
21086
Status
Expired (Delinquent)
First issued
October 5, 1992
Expired
June 30, 2001
License holder
Ireneo Basco Lazo
Entity type
Individual

Classifications

More from the license record

License type code
9503

Other California licenses under this name

  • CA
    Ireneo Basco Lazo
    License A49328
    Physician and Surgeon A
    Active
    San Francisco, CA
    Expires Feb 28, 2027

Contact

410 Galleria Dr #3
San Jose, CA 95134
Santa Clara County