Revive Md Medical Group

License

Licensed by

Medical Board of California

License number

43585

Status

Active (Current)

First issued

December 6, 2012

Expires

December 31, 2028

Entity type

Organization

Classifications

• Fictitious Name Permit Physicians & Surgeons

More from the license record

License type code

8008

Other California licenses under this name

• CA
  Revive Md Medical Group

  License 318629

  bbc/Establishment Establishment
  Active

  San Luis Obispo, CA

  Expires Mar 31, 2028

Contact