KIMBERLY SHIRLEY HERRERA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005820

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

SHIRLEY

Last Name

HERRERA

Business Name

KIMBERLY SHIRLEY HERRERA

Original Issue Date

04/28/2016

Effective Date

01/30/2020

Expiration Date

03/01/2022

City

MANTECA

State

Zip

95336

Ever Disciplined

LastModifiedDate

07/27/2022