Hybrid M.D.
ExpiredCalifornia license 543400
License
- Licensed by
- Medical Board of California
- License number
- 543400
- Status
- Expired (Delinquent)
- First issued
- March 11, 2014
- Expired
- March 31, 2022
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1031 Avenida Pico Ste 103
San Clemente, CA 92673-6352
San Clemente, CA 92673-6352
Orange County