California Lifestyle Medicine
ExpiredCalifornia license 552601
License
- Licensed by
- Medical Board of California
- License number
- 552601
- Status
- Expired (Delinquent)
- First issued
- May 28, 2021
- Expired
- May 31, 2025
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
101 S San Mateo Dr Ste 106
San Mateo, CA 94401-3840
San Mateo, CA 94401-3840
San Mateo County