Lodi Urol Med Grp Inc
ExpiredCalifornia license 4827
License
- Licensed by
- Medical Board of California
- License number
- 4827
- Status
- Expired (Delinquent)
- First issued
- June 3, 1977
- Expired
- June 30, 2023
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
830 S Ham Lane Ste 26
Lodi, CA 95242
Lodi, CA 95242
San Joaquin County