Geriatric Psychiatry Direct
ExpiredCalifornia license 547948
License
- Licensed by
- Medical Board of California
- License number
- 547948
- Status
- Expired (Delinquent)
- First issued
- November 29, 2017
- Expired
- November 30, 2023
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
5701 Lonetree Blvd Ste 323
Rocklin, CA 95765
Rocklin, CA 95765
Placer County