Martin Luther Kabongo
ExpiredCalifornia license 27414
License
- Licensed by
- California Physician Assistant Board
- License number
- 27414
- Status
- Expired (Delinquent)
- First issued
- July 16, 1997
- Expired
- October 31, 2000
- License holder
- Martin Luther Kabongo
- 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
ActiveChula Vista, CAExpires Oct 31, 2027
Contact
5525 Grossmont Center Dr Ste 200
La Mesa, CA 91942
La Mesa, CA 91942
San Diego County