Blaine K Jackson
ExpiredCalifornia license 32803
License
- Licensed by
- California Physician Assistant Board
- License number
- 32803
- Status
- Expired (Delinquent)
- First issued
- January 31, 2001
- Expired
- June 30, 2001
- License holder
- Blaine K Jackson
- 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
ActiveEscondido, CAExpires Sep 30, 2028
Contact
840 Townsite Drive
Vista, CA 92084
Vista, CA 92084
San Diego County