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Expired

California license 548837

License

Licensed by
Medical Board of California
License number
548837
Status
Expired (Delinquent)
First issued
July 27, 2018
Expired
July 31, 2026
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

5060 Shoreham Pl Ste 100
San Diego, CA 92122-5904
San Diego County