License Directory

Life Medical Practitioners

Expired

California license 556577

License

Licensed by
Medical Board of California
License number
556577
Status
Expired (Delinquent)
First issued
October 23, 2023
Expired
October 31, 2025
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

4776 Allied Rd
San Diego, CA 92120-2412
San Diego County