FESTUS E IDAHOSA-ERESE - Physician Assistant License in California | # 085000946

FESTUS E IDAHOSA-ERESE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000946

License Status

NOT RENEWED

Business

N

First Name

FESTUS

Middle

E

Last Name

IDAHOSA-ERESE

Business Name

FESTUS E IDAHOSA-ERESE

Original Issue Date

10/08/1997

Effective Date

10/08/1997

Expiration Date

02/28/1998

State

CA

Ever Disciplined

N

LastModifiedDate

09/26/2006