Lasara Medical Group, Inc.
ExpiredCalifornia license 556832
License
- Licensed by
- Medical Board of California
- License number
- 556832
- Status
- Expired (Delinquent)
- First issued
- December 21, 2023
- Expired
- December 31, 2025
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1122 Bristol St Fl 2
Costa Mesa, CA 92626-7972
Costa Mesa, CA 92626-7972
Orange County