Modesto Dermatology and Skin Cancer
ActiveCalifornia license 42965
License
- Licensed by
- Medical Board of California
- License number
- 42965
- Status
- Active (Current)
- First issued
- June 6, 2012
- Expires
- June 30, 2028
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
3105 McHenry Ave Ste 101
Modesto, CA 95350-1439
Modesto, CA 95350-1439
Stanislaus County