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LICENSING DETAILS FOR: A 24359
NAME: ADASHEK, KENNETH WAYNE
06/24/1944
1188 NAPOLI DR,
PACIFIC PALISADES, CA 90272-4040
LICENSE TYPE: PHYSICIAN AND SURGEON A
PRIMARY STATUS: LICENSE RENEWED & CURRENT Primary Status Definition
SCHOOL NAME: UNIVERSITY OF CALIFORNIA, LOS ANGELES SCHOOL OF MEDICINE
GRADUATION YEAR: 1970
ISSUANCE DATE
AUGUST 6, 1971
EXPIRATION DATE
JUNE 30, 2022
CURRENT DATE / TIME
LICENSING DETAILS FOR: A 67171
NAME: AGBUNAG, RODOLFO VENTURA
10/01/1970
400 Craven Rd,
San Marcos, CA 92078
LICENSE TYPE: PHYSICIAN AND SURGEON A
PRIMARY STATUS: LICENSE RENEWED & CURRENT Primary Status Definition
SCHOOL NAME: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
GRADUATION YEAR: 1997
ISSUANCE DATE
DECEMBER 18, 1998
EXPIRATION DATE
OCTOBER 31, 2022
CURRENT DATE / TIME
LICENSING DETAILS FOR: A 81555
NAME: AHANGAR, BRIAN AKBARI
01/20/1974.
27933 PALOS VERDES DR E,
RANCHO PALOS VERDES, CA 90275-5152
LICENSE TYPE: PHYSICIAN AND SURGEON A
PRIMARY STATUS: LICENSE RENEWED & CURRENT Primary Status Definition
SCHOOL NAME: NEW YORK MEDICAL COLLEGE
GRADUATION YEAR: 2001
ISSUANCE DATE
JANUARY 1, 2003
EXPIRATION DATE
JANUARY 31, 2023
CURRENT DATE / TIME
LICENSING DETAILS FOR: G 54139
NAME: AHEARN, ROBERT COLEMAN
01/01/1949
2654 Vista Ornada,
Newport Beach, CA 92660
LICENSE TYPE: PHYSICIAN AND SURGEON G
PRIMARY STATUS: LICENSE RENEWED & CURRENT Primary Status Definition
SCHOOL NAME: UNIVERSITY OF CALIFORNIA, IRVINE COLLEGE OF MEDICINE
GRADUATION YEAR: 1983
ISSUANCE DATE
DECEMBER 31, 1984
EXPIRATION DATE
JANUARY 31, 2022
CURRENT DATE / TIME
LICENSING DETAILS FOR: G 70524
NAME: BERGSLAND, EMILY KATHERINE
12/16/1963
550 16th St,
San Francisco, CA 94158
LICENSE TYPE: PHYSICIAN AND SURGEON G
PRIMARY STATUS: LICENSE RENEWED & CURRENT Primary Status Definition
SCHOOL NAME: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
GRADUATION YEAR: 1989
ISSUANCE DATE
DECEMBER 31, 1990
EXPIRATION DATE
DECEMBER 31, 2022
CURRENT DATE / TIME
LICENSING DETAILS FOR: G 69037
NAME: BRASLAU, DANIEL LAWRENCE
04/12/1959
1661 Soquel Dr Ste G,
Santa Cruz, CA 95065
LICENSE TYPE: PHYSICIAN AND SURGEON G
PRIMARY STATUS: LICENSE RENEWED & CURRENT Primary Status Definition
SCHOOL NAME: UNIVERSITY OF CALIFORNIA, IRVINE COLLEGE OF MEDICINE
GRADUATION YEAR: 1988
ISSUANCE DATE
JULY 6, 1990
EXPIRATION DATE
APRIL 30, 2022
CURRENT DATE / TIME
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