Om Physicians
ExpiredCalifornia license 552825
License
- Licensed by
- Medical Board of California
- License number
- 552825
- Status
- Expired (Delinquent)
- First issued
- July 8, 2021
- Expired
- July 31, 2023
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
730 17th St
Modesto, CA 95354-1209
Modesto, CA 95354-1209
Stanislaus County