License Directory

Lena Miriam Ponce De Leon

Expired

California license 28620

License

Licensed by
California Physician Assistant Board
License number
28620
Status
Expired (Delinquent)
First issued
April 9, 1998
Expired
June 30, 2001
License holder
Lena Miriam Ponce De Leon
Entity type
Individual

Classifications

More from the license record

License type code
9503

Other California licenses under this name

Contact

10800 Magnolia Avenue
Riverside, CA 92505
Riverside County