The Modern Woman
ActiveCalifornia license 551430
License
- Licensed by
- Medical Board of California
- License number
- 551430
- Status
- Active (Current)
- First issued
- August 2, 2020
- Expires
- August 31, 2028
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
990 Sonoma Ave Ste 18
Santa Rosa, CA 95404-4813
Santa Rosa, CA 95404-4813
Sonoma County