Wave Imaging - Lakewood Open
ExpiredCalifornia license 552124
License
- Licensed by
- Medical Board of California
- License number
- 552124
- Status
- Expired (Delinquent)
- First issued
- February 2, 2021
- Expired
- February 28, 2023
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
3715 E South St
Long Beach, CA 90805-4521
Long Beach, CA 90805-4521
Los Angeles County