License Directory

Theodore Grandin Rose Jr

Expired

California license 28513

License

Licensed by
California Physician Assistant Board
License number
28513
Status
Expired (Delinquent)
First issued
March 18, 1998
Expired
June 30, 2001
License holder
Theodore Grandin Rose Jr
Entity type
Individual

Classifications

More from the license record

License type code
9503

Other California licenses under this name

Contact

1411 E 31st Street
Oakland, CA 94602
Alameda County