Personalized Lifestyle Medicine Center
ExpiredCalifornia license 554421
License
- Licensed by
- Medical Board of California
- License number
- 554421
- Status
- Expired (Delinquent)
- First issued
- August 5, 2022
- Expired
- August 31, 2024
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
25 Enterprise # 150
Aliso Viejo, CA 92656-2708
Aliso Viejo, CA 92656-2708
Orange County