FESTUS E IDAHOSA-ERESE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000946

License Status

NOT RENEWED

Business

First Name

FESTUS

Middle

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

City

LOS ANGELES

State

Zip

90070

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/26/2006