License Directory

Victoria Gonzales Formoso

Expired

California 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

More from the license record

License type code
9503

Other California licenses under this name

Contact

1983 Angelico Circle
Stockton, CA 95207
San Joaquin County