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Expired

California license 557600

License

Licensed by
Medical Board of California
License number
557600
Status
Expired (Delinquent)
First issued
June 7, 2024
Expired
June 30, 2026
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

5249 Colodny Dr
Unit 8
Agoura Hills, CA 91301-2637
Los Angeles County