The Key Iop
ExpiredCalifornia license 555689
License
- Licensed by
- Medical Board of California
- License number
- 555689
- Status
- Expired (Delinquent)
- First issued
- April 21, 2023
- Expired
- April 30, 2025
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
167 La Canada Way
Santa Cruz, CA 95060-1021
Santa Cruz, CA 95060-1021
Santa Cruz County