South Tahoe Anesthesia Medical Group
ExpiredCalifornia 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
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
2170 South Avenue
South Lake Tahoe, CA 96150
South Lake Tahoe, CA 96150
El Dorado County