Modern Primary Care and Wellness
ExpiredCalifornia license 551370
License
- Licensed by
- Medical Board of California
- License number
- 551370
- Status
- Expired (Delinquent)
- First issued
- July 15, 2020
- Expired
- July 31, 2022
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1501 Secret Ravine Pkwy Unit 1035
Roseville, CA 95661-6011
Roseville, CA 95661-6011
Placer County