Illuminary Medical Group, PC
ExpiredCalifornia license 551352
License
- Licensed by
- Medical Board of California
- License number
- 551352
- Status
- Expired (Delinquent)
- First issued
- June 25, 2020
- Expired
- June 30, 2024
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
23422 Peralta Dr Ste C
Laguna Hills, CA 92653-1734
Laguna Hills, CA 92653-1734
Orange County