Modern Psychiatric Group
ExpiredCalifornia license 556842
License
- Licensed by
- Medical Board of California
- License number
- 556842
- Status
- Expired (Delinquent)
- First issued
- December 26, 2023
- Expired
- December 31, 2025
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
19712 MacArthur Blvd Ste 110
Irvine, CA 92612-2407
Irvine, CA 92612-2407
Orange County