Seen Psychiatry
ExpiredCalifornia license 554049
License
- Licensed by
- Medical Board of California
- License number
- 554049
- Status
- Expired (Delinquent)
- First issued
- May 6, 2022
- Expired
- May 31, 2024
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
729 Mission St Ste 300
South Pasadena, CA 91030-3070
South Pasadena, CA 91030-3070
Los Angeles County