The Medical Shepherd
ExpiredCalifornia license 550390
License
- Licensed by
- Medical Board of California
- License number
- 550390
- Status
- Expired (Delinquent)
- First issued
- October 21, 2019
- Expired
- October 31, 2025
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1014 Foothill Dr
Windsor, CA 95492-7913
Windsor, CA 95492-7913
Sonoma County