Miguel Roberto Lizama
ExpiredCalifornia license 28126
License
- Licensed by
- California Physician Assistant Board
- License number
- 28126
- Status
- Expired (Delinquent)
- First issued
- December 17, 1997
- Expired
- May 31, 1999
- License holder
- Miguel Roberto Lizama
- 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
ActiveMission Hills, CAExpires May 31, 2027
Contact
6125 Whittier Blvd
Los Angeles, CA 90022
Los Angeles, CA 90022
Los Angeles County