Mona Lisa Medical Group, Inc
ExpiredCalifornia license 554708
License
- Licensed by
- Medical Board of California
- License number
- 554708
- Status
- Expired (Delinquent)
- First issued
- September 27, 2022
- Expired
- September 30, 2026
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
14856 Vanowen St
Van Nuys, CA 91405-3828
Van Nuys, CA 91405-3828
Los Angeles County