Executive Urgent Care of Indian Wells
ExpiredCalifornia license 42456
License
- Licensed by
- Medical Board of California
- License number
- 42456
- Status
- Expired (Delinquent)
- First issued
- January 31, 2012
- Expired
- January 31, 2024
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
74-785 Highway 111 Suite 100
Indian Wells, CA 92210
Indian Wells, CA 92210
Riverside County