Dr. Tite
ExpiredCalifornia license 545428
License
- Licensed by
- Medical Board of California
- License number
- 545428
- Status
- Expired (Delinquent)
- First issued
- December 1, 2015
- Expired
- December 31, 2021
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
29525 Canwood St Ste 211
Agoura Hills, CA 91301
Agoura Hills, CA 91301
Los Angeles County