License Directory

Modern Medicine

Expired

California license 547998

License

Licensed by
Medical Board of California
License number
547998
Status
Expired (Delinquent)
First issued
December 15, 2017
Expired
December 31, 2021
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

175 N Jackson Ave Ste 209
San Jose, CA 95116-1909
Santa Clara County