Captive Wellness
ExpiredCalifornia license 550875
License
- Licensed by
- Medical Board of California
- License number
- 550875
- Status
- Expired (Delinquent)
- First issued
- February 7, 2020
- Expired
- February 28, 2022
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1665 Creekside Dr Ste 100
Folsom, CA 95630-3538
Folsom, CA 95630-3538
Sacramento County