License Directory

Ellen D Bolotin

Expired

California license 26406

License

Licensed by
California Physician Assistant Board
License number
26406
Status
Expired (Delinquent)
First issued
October 17, 1996
Expired
August 31, 2000
License holder
Ellen D Bolotin
Entity type
Individual

Classifications

More from the license record

License type code
9503

Other California licenses under this name

  • CA
    Ellen D Bolotin
    License A54526
    Physician and Surgeon A
    Active
    Granada Hills, CA
    Expires Aug 31, 2027

Contact

11115 Haskell Avenue
Granada Hills, CA 91344
Los Angeles County