Tahoe Carson Valley Medical Group, Inc.
ExpiredCalifornia license 545418
License
- Licensed by
- Medical Board of California
- License number
- 545418
- Status
- Expired (Delinquent)
- First issued
- November 25, 2015
- Expired
- November 30, 2025
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1090 3rd St
South Lake Tahoe, CA 96150
South Lake Tahoe, CA 96150
El Dorado County