Keola Medical Group Inc.
ExpiredCalifornia license 552416
License
- Licensed by
- Medical Board of California
- License number
- 552416
- Status
- Expired (Delinquent)
- First issued
- April 12, 2021
- Expired
- April 30, 2023
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1569 Lexann Ave Ste 210
San Jose, CA 95121-1795
San Jose, CA 95121-1795
Santa Clara County