Theodore Grandin Rose Jr
ExpiredCalifornia 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
- pab/SA Sa Physicians & Surgeons
More from the license record
- License type code
- 9503
Other California licenses under this name
-
CA
ActiveLaguna Beach, CAExpires Jun 30, 2028
Contact
1411 E 31st Street
Oakland, CA 94602
Oakland, CA 94602
Alameda County