Modern Skin Md
ExpiredCalifornia license 554744
License
- Licensed by
- Medical Board of California
- License number
- 554744
- Status
- Expired (Delinquent)
- First issued
- September 30, 2022
- Expired
- September 30, 2026
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
400 S Sepulveda Blvd # 205-210
Manhattan Beach, CA 90266-6814
Manhattan Beach, CA 90266-6814
Los Angeles County