Dr. Awesome
ExpiredCalifornia license 551025
License
- Licensed by
- Medical Board of California
- License number
- 551025
- Status
- Expired (Delinquent)
- First issued
- March 12, 2020
- Expired
- March 31, 2022
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
16460 Bake Pkwy
Irvine, CA 92618-4665
Irvine, CA 92618-4665
Orange County