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Expired

California license 556691

License

Licensed by
Medical Board of California
License number
556691
Status
Expired (Delinquent)
First issued
November 22, 2023
Expired
November 30, 2025
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

6313 E Meritage Dr
Fresno, CA 93727-0974
Fresno County