Medical Green Doctors
ExpiredCalifornia license 545532
License
- Licensed by
- Medical Board of California
- License number
- 545532
- Status
- Expired (Delinquent)
- First issued
- December 30, 2015
- Expired
- December 31, 2021
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
2007 Ocean Front Walk
Venice, CA 90291
Venice, CA 90291
Los Angeles County