License Directory

Tye Rio Depena

Expired

California license 29224

License

Licensed by
California Physician Assistant Board
License number
29224
Status
Expired (Delinquent)
First issued
September 2, 1998
Expired
June 30, 2001
License holder
Tye Rio Depena
Entity type
Individual

Classifications

More from the license record

License type code
9503

Other California licenses under this name

  • CA
    Tye Rio Depena
    License A60990
    Physician and Surgeon A
    Active
    Santa Cruz, CA
    Expires Oct 31, 2028

Contact

114 Merced Avenue
Santa Cruz, CA 95060
Santa Cruz County