Myw8
ExpiredCalifornia license 555950
License
- Licensed by
- Medical Board of California
- License number
- 555950
- Status
- Expired (Delinquent)
- First issued
- June 21, 2023
- Expired
- June 30, 2025
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
2557 Ivanhoe Dr
Los Angeles, CA 90039-3212
Los Angeles, CA 90039-3212
Los Angeles County