South Lake Med Spa
ExpiredCalifornia license 554864
License
- Licensed by
- Medical Board of California
- License number
- 554864
- Status
- Expired (Delinquent)
- First issued
- October 20, 2022
- Expired
- October 31, 2024
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
2074 Lake Tahoe Blvd Ste 5
South Lake Tahoe, CA 96150-6408
South Lake Tahoe, CA 96150-6408
El Dorado County