California Palliative and Functional Physicians
ExpiredCalifornia license 545641
License
- Licensed by
- Medical Board of California
- License number
- 545641
- Status
- Expired (Delinquent)
- First issued
- February 2, 2016
- Expired
- February 28, 2022
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1582 W San Marcos Blvd Ste 100
San Marcos, CA 92078
San Marcos, CA 92078
San Diego County