California Functional Internal Medicine
ExpiredCalifornia 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
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
22972 El Toro Rd
Lake Forest, CA 92630-4961
Lake Forest, CA 92630-4961
Orange County