Jacob Benford
ExpiredCalifornia license 26328
License
- Licensed by
- California Physician Assistant Board
- License number
- 26328
- Status
- Expired (Delinquent)
- First issued
- September 25, 1996
- Expired
- June 30, 2001
- License holder
- Jacob Benford
- 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
ActiveRoseburg, ORExpires Nov 30, 2027
Contact
84 Mar Monte Avenue
La Selva Beach, CA 95076
La Selva Beach, CA 95076
Santa Cruz County