Victoria Gonzales Formoso
ExpiredCalifornia license 29103
License
- Licensed by
- California Physician Assistant Board
- License number
- 29103
- Status
- Expired (Delinquent)
- First issued
- August 12, 1998
- Expired
- June 30, 2001
- License holder
- Victoria Gonzales Formoso
- 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
ActiveStockton, CAExpires Dec 31, 2026
Contact
1983 Angelico Circle
Stockton, CA 95207
Stockton, CA 95207
San Joaquin County