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Expired

California license 557000

License

Licensed by
Medical Board of California
License number
557000
Status
Expired (Delinquent)
First issued
January 26, 2024
Expired
January 31, 2026
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

3381 Colbert Ave
Los Angeles, CA 90066-1213
Los Angeles County