Sbos
ExpiredCalifornia license 554765
License
- Licensed by
- Medical Board of California
- License number
- 554765
- Status
- Expired (Delinquent)
- First issued
- September 30, 2022
- Expired
- September 30, 2024
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
180 Otay Lakes Rd Ste 110
Bonita, CA 91902-2444
Bonita, CA 91902-2444
San Diego County