Urologic Institute
ExpiredCalifornia license 554289
License
- Licensed by
- Medical Board of California
- License number
- 554289
- Status
- Expired (Delinquent)
- First issued
- July 7, 2022
- Expired
- July 31, 2024
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
18400 US Highway 18 Ste A
Apple Valley, CA 92307-2306
Apple Valley, CA 92307-2306
San Bernardino County