Eternally, Professional Corporation
ExpiredCalifornia license 554040
License
- Licensed by
- Medical Board of California
- License number
- 554040
- Status
- Expired (Delinquent)
- First issued
- May 5, 2022
- Expired
- May 31, 2024
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
8601 Beverly Blvd
West Hollywood, CA 90048-3301
West Hollywood, CA 90048-3301
Los Angeles County