Stephen Prover
ExpiredCalifornia license 31912
License
- Licensed by
- California Physician Assistant Board
- License number
- 31912
- Status
- Expired (Delinquent)
- First issued
- July 6, 2000
- Expired
- June 30, 2001
- License holder
- Stephen Prover
- 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
ActiveLos Angeles, CAExpires Oct 31, 2028
Contact
23326 Hawthorne, #375
Torrance, CA 90505
Torrance, CA 90505
Los Angeles County