License Directory

Dermatology Medical Office

Expired

California license 30616

License

Licensed by
Medical Board of California
License number
30616
Status
Expired (Delinquent)
First issued
January 21, 2003
Expired
January 31, 2025
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

29525 Canwood St Ste 219
Agoura Hills, CA 91301
Los Angeles County