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Expired

California license 551326

License

Licensed by
Medical Board of California
License number
551326
Status
Expired (Delinquent)
First issued
June 25, 2020
Expired
June 30, 2024
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

376 Hartnell Ave Ste A
Redding, CA 96002-1881
Shasta County