Kenneth Douglas Forsythe
ExpiredCalifornia license 31123
License
- Licensed by
- California Physician Assistant Board
- License number
- 31123
- Status
- Expired (Delinquent)
- First issued
- December 2, 1999
- Expired
- June 30, 2001
- License holder
- Kenneth Douglas Forsythe
- 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
ExpiredRocklin, CAExpired Aug 31, 2022
Contact
4545 Georgetown Place Ste F-30
Stockton, CA 95207
Stockton, CA 95207
San Joaquin County