Nicolas Rillera Dela Pena
ExpiredCalifornia license 28062
License
- Licensed by
- California Physician Assistant Board
- License number
- 28062
- Status
- Expired (Delinquent)
- First issued
- December 4, 1997
- Expired
- December 31, 1999
- License holder
- Nicolas Rillera Dela Pena
- 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
ActiveMerced, CAExpires Dec 31, 2026
Contact
535 W 25th Street
Merced, CA 95340
Merced, CA 95340
Merced County