License Directory

Manikanda Grandhe Raja

Expired

California license 26279

License

Licensed by
California Physician Assistant Board
License number
26279
Status
Expired (Delinquent)
First issued
September 12, 1996
Expired
November 30, 1998
License holder
Manikanda Grandhe Raja
Entity type
Individual

Classifications

More from the license record

License type code
9503

Other California licenses under this name

Contact

1665 Scenic Drive
Talbert Medical Center
Costa Mesa, CA 92626
Orange County