Wilfred Gray Idsten
ExpiredCalifornia license 26602
License
- Licensed by
- California Physician Assistant Board
- License number
- 26602
- Status
- Expired (Delinquent)
- First issued
- December 4, 1996
- Expired
- August 31, 2000
- License holder
- Wilfred Gray Idsten
- 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
ExpiredLos Angeles, CAExpired Aug 31, 2022
Contact
705 So. Blvd
Tampa, FL 33606
Tampa, FL 33606
Hillsborough County