License Directory

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Expired

California license 557817

License

Licensed by
Medical Board of California
License number
557817
Status
Expired (Delinquent)
First issued
July 30, 2024
Expired
July 31, 2026
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

1106 N La Cienega Blvd
Suite 206
West Hollywood, CA 90069-2493
Los Angeles County