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Expired

California license 552823

License

Licensed by
Medical Board of California
License number
552823
Status
Expired (Delinquent)
First issued
July 8, 2021
Expired
July 31, 2025
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

3030 W Olympic Blvd # 209
Los Angeles, CA 90006-6501
Los Angeles County