Basem Fanous
ExpiredCalifornia license 25814
License
- Licensed by
- California Physician Assistant Board
- License number
- 25814
- Status
- Expired (Delinquent)
- First issued
- May 23, 1996
- Expired
- June 30, 2001
- License holder
- Basem Fanous
- 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
ActiveSylmar, CAExpires Sep 30, 2027
Contact
13851 Foothill Blvd
Sylmar, CA 91342
Sylmar, CA 91342
Los Angeles County