RICHARD DOMINGO DE CASTRO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005345

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

DOMINGO

Last Name

DE CASTRO

Business Name

RICHARD DOMINGO DE CASTRO

Original Issue Date

10/30/2014

Effective Date

01/04/2022

Expiration Date

03/01/2024

City

LONG BEACH

State

Zip

90813

Ever Disciplined

LastModifiedDate

02/05/2025