Modern Medicine
ExpiredCalifornia 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
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
175 N Jackson Ave Ste 209
San Jose, CA 95116-1909
San Jose, CA 95116-1909
Santa Clara County