License Directory

Imelda V Deforest

Expired

California 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

More from the license record

License type code
9503

Other California licenses under this name

  • CA
    Imelda V Deforest
    License A51405
    Physician and Surgeon A
    Active
    Oxnard, CA
    Expires Mar 31, 2028

Contact

2269 El Rancho Dr
Camarillo, CA 93010
Ventura County