Lodi Heart Ctr Med Gp Card Non-Inv

License

Licensed by

Medical Board of California

License number

12077

Status

Expired (Delinquent)

First issued

January 16, 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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