Miguel Dominguez Camacho
ExpiredCalifornia license 26290
License
- Licensed by
- California Physician Assistant Board
- License number
- 26290
- Status
- Expired (Delinquent)
- First issued
- September 19, 1996
- Expired
- June 30, 2001
- License holder
- Miguel Dominguez Camacho
- 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
ActiveArroyo Grande, CAExpires Sep 30, 2028
Contact
1445 Peacock Ct
Templeton, CA 93465
Templeton, CA 93465
San Luis Obispo County