Gary W Fausone
ExpiredCalifornia license 28953
License
- Licensed by
- California Physician Assistant Board
- License number
- 28953
- Status
- Expired (Delinquent)
- First issued
- July 2, 1998
- Expired
- June 30, 2001
- License holder
- Gary W Fausone
- 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
ActiveUkiah, CAExpires Jan 31, 2028
Contact
10770 North Drive
Clearlake, CA 95422
Clearlake, CA 95422
Lake County