CAROL SUE FUENTES - Physician Assistant License in California | # 085000863

CAROL SUE FUENTES

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000863

License Status

NOT RENEWED

Business

N

First Name

CAROL SUE

Last Name

FUENTES

Business Name

CAROL SUE FUENTES

Original Issue Date

01/09/1997

Effective Date

01/09/1997

Expiration Date

03/01/2002

State

CA

Ever Disciplined

N

LastModifiedDate

10/09/2006