Corinne Vivian Basch
ExpiredCalifornia license 25834
License
- Licensed by
- California Physician Assistant Board
- License number
- 25834
- Status
- Expired (Delinquent)
- First issued
- May 30, 1996
- Expired
- June 30, 2001
- License holder
- Corinne Vivian Basch
- 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
ActiveArcata, CAExpires Sep 30, 2028
Contact
785 18th Street
Arcata, CA 95521-8599
Arcata, CA 95521-8599
Humboldt County