Plus by Apn
ExpiredCalifornia license 556918
License
- Licensed by
- Medical Board of California
- License number
- 556918
- Status
- Expired (Delinquent)
- First issued
- January 9, 2024
- Expired
- January 31, 2026
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
23410 Civic Center Way Ste E7
Malibu, CA 90265-5917
Malibu, CA 90265-5917
Los Angeles County