Wayne Antolin Jac Ulit
ExpiredCalifornia license 23311
License
- Licensed by
- California Physician Assistant Board
- License number
- 23311
- Status
- Expired (Delinquent)
- First issued
- August 8, 1994
- Expired
- June 30, 2001
- License holder
- Wayne Antolin Jac Ulit
- 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
ActiveWoodland Hills, CAExpires Sep 30, 2028
Contact
24108 Hatteras Street
Woodland Hills, CA 91367
Woodland Hills, CA 91367
Los Angeles County