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Expired

California license 552131

License

Licensed by
Medical Board of California
License number
552131
Status
Expired (Delinquent)
First issued
February 3, 2021
Expired
February 28, 2023
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

17330 Bear Valley Rd Ste 105
Victorville, CA 92395-7741
San Bernardino County