Manikanda Grandhe Raja
ExpiredCalifornia 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
- pab/SA Sa Physicians & Surgeons
More from the license record
- License type code
- 9503
Other California licenses under this name
-
CA
ActiveHemet, CAExpires Nov 30, 2028
Contact
1665 Scenic Drive
Talbert Medical Center
Costa Mesa, CA 92626
Talbert Medical Center
Costa Mesa, CA 92626
Orange County