Define: Medical + Aesthetics
ExpiredCalifornia license 552830
License
- Licensed by
- Medical Board of California
- License number
- 552830
- 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
4150 Regents Park Row
La Jolla, CA 92037-9124
La Jolla, CA 92037-9124
San Diego County