Mayra Tamara Vivas
ExpiredCalifornia license 26059
License
- Licensed by
- California Physician Assistant Board
- License number
- 26059
- Status
- Expired (Delinquent)
- First issued
- July 24, 1996
- Expired
- December 31, 1997
- License holder
- Mayra Tamara Vivas
- 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
ActiveDaly City, CAExpires Dec 31, 2026
Contact
256 Gates Street
San Francisco, CA 94110-5660
San Francisco, CA 94110-5660
San Francisco County