Asp Providers Group of California, PC
ExpiredCalifornia license 547949
License
- Licensed by
- Medical Board of California
- License number
- 547949
- Status
- Expired (Delinquent)
- First issued
- November 30, 2017
- Expired
- November 30, 2021
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1350 Barias Ln
Petaluma, CA 94952
Petaluma, CA 94952
Sonoma County