License Directory

California Functional Internal Medicine

Expired

California license 557347

License

Licensed by
Medical Board of California
License number
557347
Status
Expired (Delinquent)
First issued
April 11, 2024
Expired
April 30, 2026
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

22972 El Toro Rd
Lake Forest, CA 92630-4961
Orange County