License Directory

Miguel Dominguez Camacho

Expired

California 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

More from the license record

License type code
9503

Other California licenses under this name

Contact

1445 Peacock Ct
Templeton, CA 93465
San Luis Obispo County