License Directory

Cresencia De Leon Banzuela

Expired

California 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

More from the license record

License type code
9503

Other California licenses under this name

Contact

900 South Main St Suite 205
Corona, CA 92882
Riverside County