License Directory

Samuel Antonio Bolivar

Expired

California license 23554

License

Licensed by
California Physician Assistant Board
License number
23554
Status
Expired (Delinquent)
First issued
October 5, 1994
Expired
June 30, 2001
License holder
Samuel Antonio Bolivar
Entity type
Individual

Classifications

More from the license record

License type code
9503

Other California licenses under this name

Contact

577 North "D" Street
San Bernardino, CA 92410
San Bernardino County