License Directory

South Tahoe Anesthesia Medical Group

Expired

California license 36609

License

Licensed by
Medical Board of California
License number
36609
Status
Expired (Delinquent)
First issued
October 25, 2007
Expired
October 31, 2021
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

2170 South Avenue
South Lake Tahoe, CA 96150
El Dorado County