License Directory

Asp Providers Group of California, PC

Expired

California 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

More from the license record

License type code
8008

Contact

1350 Barias Ln
Petaluma, CA 94952
Sonoma County