Dermatology Medical Office
ExpiredCalifornia 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
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
29525 Canwood St Ste 219
Agoura Hills, CA 91301
Agoura Hills, CA 91301
Los Angeles County