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License

Licensed by

Medical Board of California

License number

555401

Status

Expired (Delinquent)

First issued

February 22, 2023

Expired

February 28, 2025

Entity type

Organization

Classifications

• Fictitious Name Permit Physicians & Surgeons

More from the license record

License type code

8008

Other California licenses under this name

• CA
  Edit

  License 12378

  Business Entity (dummy)
  Expired

  San Francisco, CA

  Expired Feb 23, 2024

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