Thousand Oaks Spine Medical Group, Inc
ExpiredCalifornia license 546583
License
- Licensed by
- Medical Board of California
- License number
- 546583
- Status
- Expired (Delinquent)
- First issued
- November 16, 2016
- Expired
- November 30, 2022
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1001 Newbury Rd
Newbury Park, CA 91320
Newbury Park, CA 91320
Ventura County