Prenuvo of Golden State PC
ExpiredCalifornia license 556564
License
- Licensed by
- Medical Board of California
- License number
- 556564
- Status
- Expired (Delinquent)
- First issued
- October 20, 2023
- Expired
- October 31, 2025
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
13 Misty Rd
Novato, CA 94945-1551
Novato, CA 94945-1551
Marin County