License Directory

Kelly H Shimokusu

Expired

California license 29756

License

Licensed by
California Physician Assistant Board
License number
29756
Status
Expired (Delinquent)
First issued
January 5, 1999
Expired
June 30, 2001
License holder
Kelly H Shimokusu
Entity type
Individual

Classifications

More from the license record

License type code
9503

Other California licenses under this name

  • CA
    Kelly H Shimokusu
    License A67097
    Physician and Surgeon A
    Active
    San Mateo, CA
    Expires Aug 31, 2028

Contact

2134 Palm Drive
Colorado Spring, CO 80918
El Paso County