Mark Vernon Godiksen
ExpiredCalifornia license 24553
License
- Licensed by
- California Physician Assistant Board
- License number
- 24553
- Status
- Expired (Delinquent)
- First issued
- July 12, 1995
- Expired
- February 28, 1997
- License holder
- Mark Vernon Godiksen
- 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
ActiveClovis, CAExpires Feb 28, 2027
Contact
688 Medical Center Drive E #106
Clovis, CA 93611
Clovis, CA 93611
Fresno County