License Directory

Theresa Marie Van Der Vlugt

Expired

California 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

More from the license record

License type code
9503

Other California licenses under this name

Contact

320-A Curtner Ave.
Palo Alto, CA 94306
Santa Clara County