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Physician Assistant Board

Licensing details for: 19199

Name: WILSON, DEAN JR

License Type: Physician Assistant

Primary Status: License Renewed & Current Primary Status Definition

Licensee meets requirements for the practice of medicine in California.

Qualification: CSE Course Cert of Completion on File

School Name: HOWARD UNIVERSITY

Graduation Year: 1994

Address of Record

PO Box 98
AGOURA HILLS CA 91376-0098
LOS ANGELES county
Map

Issuance Date

June 15, 2007

Expiration Date

April 30, 2027

Current Date / Time

August 20, 2025
1:52:33 AM

Public Record Actions

Administrative Disciplinary Actions (No Records)

Court Order (No Records)

Misdemeanor Conviction (No Records)

Felony Conviction (No Records)

Malpractice Judgment (No Records)

Probationary License (No Records)

Hospital Disciplinary Action (No Records)

License Issued with Public Letter of Reprimand (No Records)

Administrative Citation Issued (No Records)

Administrative Action Taken by Other State or Federal Government (No Records)

Arbitration Award (No Records)

Public Documents

Documents (No Records)

License Relationships

Previous PA License

License/Registration Role: 9501 - PA

Related Party Role: Physician Assistant

Name: WILSON, DEAN JR

License/Registration Type: Physician Assistant

License Number: 14193 Primary Status: License Canceled

Address :
7400 HOLLYWOOD BLVD., #620
LOS ANGELES CA 90064
LOS ANGELES COUNTY

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