Samuel Antonio Bolivar
ExpiredCalifornia 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
- pab/SA Sa Physicians & Surgeons
More from the license record
- License type code
- 9503
Other California licenses under this name
-
CA
ActiveRiverside, CAExpires Aug 31, 2028
Contact
577 North "D" Street
San Bernardino, CA 92410
San Bernardino, CA 92410
San Bernardino County