Orange County Kidney
ExpiredCalifornia license 41986
License
- Licensed by
- Medical Board of California
- License number
- 41986
- Status
- Expired (Delinquent)
- First issued
- October 5, 2011
- Expired
- October 31, 2021
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
17150 Euclid St., Suite 200
Fountain Valley, CA 92708
Fountain Valley, CA 92708
Orange County