Mountain Medical Group Inc.
ExpiredCalifornia license 550872
License
- Licensed by
- Medical Board of California
- License number
- 550872
- Status
- Expired (Delinquent)
- First issued
- February 5, 2020
- Expired
- February 28, 2022
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
234 Gateway Park Dr
Mount Shasta, CA 96067-9236
Mount Shasta, CA 96067-9236
Siskiyou County