Restore Md
ExpiredCalifornia license 549398
License
- Licensed by
- Medical Board of California
- License number
- 549398
- Status
- Expired (Delinquent)
- First issued
- December 24, 2018
- Expired
- December 31, 2022
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
9850 Genesee Ave Ste 650
La Jolla, CA 92037-1231
La Jolla, CA 92037-1231
San Diego County