Antelope Valley Surgical Medical Office
ExpiredCalifornia license 29492
License
- Licensed by
- Medical Board of California
- License number
- 29492
- Status
- Expired (Delinquent)
- First issued
- November 15, 2001
- Expired
- November 30, 2023
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1331 W Ave J Ste 203
Lancaster, CA 93534
Lancaster, CA 93534
Los Angeles County