RAYMOND A VILLAVERDE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001011

License Status

NOT RENEWED

Business

First Name

RAYMOND

Middle

Last Name

VILLAVERDE

Business Name

RAYMOND A VILLAVERDE

Original Issue Date

01/21/1998

Effective Date

12/09/2009

Expiration Date

03/01/2012

City

SANTA CRUZ

State

Zip

95060

Ever Disciplined

LastModifiedDate

01/11/2016