Ocwmg
ExpiredCalifornia license 548135
License
- Licensed by
- Medical Board of California
- License number
- 548135
- Status
- Expired (Delinquent)
- First issued
- January 22, 2018
- Expired
- January 31, 2024
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
24411 Health Center Dr Ste 200
Laguna Hills, CA 92653
Laguna Hills, CA 92653
Orange County