Cresencia De Leon Banzuela
ExpiredCalifornia license 30763
License
- Licensed by
- California Physician Assistant Board
- License number
- 30763
- Status
- Expired (Delinquent)
- First issued
- September 21, 1999
- Expired
- June 30, 2001
- License holder
- Cresencia De Leon Banzuela
- 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
ActiveCorona, CAExpires Jun 30, 2028
Contact
900 South Main St Suite 205
Corona, CA 92882
Corona, CA 92882
Riverside County