Stat IV Therapy
ActiveCalifornia license 555844
License
- Licensed by
- Medical Board of California
- License number
- 555844
- Status
- Active (Current)
- First issued
- May 26, 2023
- Expires
- May 31, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1005 E Pescadero Ave Ste 155
Tracy, CA 95304-8505
Tracy, CA 95304-8505
San Joaquin County