Ellen D Bolotin
ExpiredCalifornia 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
- pab/SA Sa Physicians & Surgeons
More from the license record
- License type code
- 9503
Other California licenses under this name
-
CA
ActiveGranada Hills, CAExpires Aug 31, 2027
Contact
11115 Haskell Avenue
Granada Hills, CA 91344
Granada Hills, CA 91344
Los Angeles County