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Expired

California license 550687

License

Licensed by
Medical Board of California
License number
550687
Status
Expired (Delinquent)
First issued
January 7, 2020
Expired
January 31, 2022
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

7136 Pacific Blvd Ste 200
Huntington Park, CA 90255-7619
Los Angeles County