Smd
ActiveCalifornia license 44540
License
- Licensed by
- Medical Board of California
- License number
- 44540
- Status
- Active (Current)
- First issued
- September 30, 2013
- Expires
- September 30, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
2330 Marinship Way Ste 370
Sausalito, CA 94965-2853
Sausalito, CA 94965-2853
Marin County