Kelly H Shimokusu
ExpiredCalifornia 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
- pab/SA Sa Physicians & Surgeons
More from the license record
- License type code
- 9503
Other California licenses under this name
-
CA
ActiveSan Mateo, CAExpires Aug 31, 2028
Contact
2134 Palm Drive
Colorado Spring, CO 80918
Colorado Spring, CO 80918
El Paso County