Form Md Aesthetics, A Medical Corporation
ActiveCalifornia license 555143
License
- Licensed by
- Medical Board of California
- License number
- 555143
- Status
- Active (Current)
- First issued
- December 21, 2022
- Expires
- December 31, 2026
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
26691 Plaza Ste 200
Mission Viejo, CA 92691-8582
Mission Viejo, CA 92691-8582
Orange County