Peninsula Head & Neck Sug in Md Gp

License

Licensed by

Medical Board of California

License number

12053

Status

Expired (Delinquent)

First issued

January 7, 1986

Expired

January 31, 2026

Entity type

Organization

Classifications

• Fictitious Name Permit Physicians & Surgeons

More from the license record

License type code

8008

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