Innovate Behavioral Health Medical Group Inc
ExpiredCalifornia license 554190
License
- Licensed by
- Medical Board of California
- License number
- 554190
- Status
- Expired (Delinquent)
- First issued
- June 9, 2022
- Expired
- June 30, 2024
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
732 N Mountain Ave # A & B
Upland, CA 91786-4372
Upland, CA 91786-4372
San Bernardino County