Mosaic Dermatology
ExpiredCalifornia license 548084
License
- Licensed by
- Medical Board of California
- License number
- 548084
- Status
- Expired (Delinquent)
- First issued
- January 12, 2018
- Expired
- January 31, 2022
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1821 Wilshire Blvd Ste 550
Santa Monica, CA 90403-5668
Santa Monica, CA 90403-5668