Lake Dermatology Medical Associates
ActiveCalifornia license 547732
License
- Licensed by
- Medical Board of California
- License number
- 547732
- Status
- Active (Current)
- First issued
- September 20, 2017
- Expires
- September 30, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
5144 HILL RD East
Lakeport, CA 95453
Lakeport, CA 95453
Lake County