Imelda V Deforest
ExpiredCalifornia license 25406
License
- Licensed by
- California Physician Assistant Board
- License number
- 25406
- Status
- Expired (Delinquent)
- First issued
- February 1, 1996
- Expired
- March 31, 1998
- License holder
- Imelda V Deforest
- 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
ActiveOxnard, CAExpires Mar 31, 2028
Contact
2269 El Rancho Dr
Camarillo, CA 93010
Camarillo, CA 93010
Ventura County