Samuel Valente Agra
ExpiredCalifornia license 27564
License
- Licensed by
- California Physician Assistant Board
- License number
- 27564
- Status
- Expired (Delinquent)
- First issued
- August 20, 1997
- Expired
- June 30, 2001
- License holder
- Samuel Valente Agra
- 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 Mar 31, 2023
Contact
3938 Sunbeam Drive
Los Angeles, CA 90065
Los Angeles, CA 90065
Los Angeles County