Divine Health, Inc.
ExpiredCalifornia license 551556
License
- Licensed by
- Medical Board of California
- License number
- 551556
- Status
- Expired (Delinquent)
- First issued
- September 15, 2020
- Expired
- September 30, 2026
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1401 Boulevard Way
Walnut Creek, CA 94595
Walnut Creek, CA 94595
Contra Costa County