Eliza Farmer Chakravarty
ExpiredCalifornia license 31812
License
- Licensed by
- California Physician Assistant Board
- License number
- 31812
- Status
- Expired (Delinquent)
- First issued
- June 6, 2000
- Expired
- June 30, 2001
- License holder
- Eliza Farmer Chakravarty
- 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
ExpiredOklahoma City, OKExpired Jul 31, 2024
Contact
976-2 Alpine Terrace
Sunnyvale, CA 94086
Sunnyvale, CA 94086
Santa Clara County