911 Covid Testing
ExpiredCalifornia license 554572
License
- Licensed by
- Medical Board of California
- License number
- 554572
- Status
- Expired (Delinquent)
- First issued
- August 29, 2022
- Expired
- August 31, 2024
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
2632 Wilshire Blvd # 911
Santa Monica, CA 90403-4623
Santa Monica, CA 90403-4623
Los Angeles County