Nextdoor Physician
ExpiredCalifornia license 552565
License
- Licensed by
- Medical Board of California
- License number
- 552565
- Status
- Expired (Delinquent)
- First issued
- May 19, 2021
- Expired
- May 31, 2023
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1398 S Mary Ave
Sunnyvale, CA 94087-3131
Sunnyvale, CA 94087-3131
Santa Clara County