Codymd
ExpiredCalifornia license 557556
License
- Licensed by
- Medical Board of California
- License number
- 557556
- Status
- Expired (Delinquent)
- First issued
- May 31, 2024
- Expired
- May 31, 2026
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
2108 N St
Suite N
Sacramento, CA 95816-5712
Suite N
Sacramento, CA 95816-5712
Sacramento County