Pueblo Medical
ExpiredCalifornia license 550462
License
- Licensed by
- Medical Board of California
- License number
- 550462
- Status
- Expired (Delinquent)
- First issued
- November 7, 2019
- Expired
- November 30, 2025
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
521 N Azusa Ave
Azusa, CA 91702-2936
Azusa, CA 91702-2936
Los Angeles County