San Francisco Peninsula Ear Nose and Throat Assoc A Med Corp
ExpiredCalifornia license 21101
License
- Licensed by
- Medical Board of California
- License number
- 21101
- Status
- Expired (Delinquent)
- First issued
- November 30, 1993
- Expired
- November 30, 2021
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1874 Balsam Ct
Lathrop, CA 95330-8215
Lathrop, CA 95330-8215
San Joaquin County