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Expired

California license 548025

License

Licensed by
Medical Board of California
License number
548025
Status
Expired (Delinquent)
First issued
January 3, 2018
Expired
January 31, 2024
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

6755 Mira Mesa Blvd Ste 123
San Diego, CA 92121-4311
San Diego County