Orange City Ins of Gast/Endo Medical Cl
ExpiredCalifornia license 12518
License
- Licensed by
- Medical Board of California
- License number
- 12518
- Status
- Expired (Delinquent)
- First issued
- June 9, 1986
- Expired
- June 30, 2024
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
26732 Crown Valley Pkwy #241
Mission Viejo, CA 92691
Mission Viejo, CA 92691
Orange County