Theresa Marie Van Der Vlugt
ExpiredCalifornia license 32621
License
- Licensed by
- California Physician Assistant Board
- License number
- 32621
- Status
- Expired (Delinquent)
- First issued
- December 5, 2000
- Expired
- June 30, 2001
- License holder
- Theresa Marie Van Der Vlugt
- 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
ActiveBellingham, WAExpires Sep 30, 2027
Contact
320-A Curtner Ave.
Palo Alto, CA 94306
Palo Alto, CA 94306
Santa Clara County