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Expired

California license 557911

License

Licensed by
Medical Board of California
License number
557911
Status
Expired (Delinquent)
First issued
August 14, 2024
Expired
August 31, 2026
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

1801 Orange Tree Ln Ste 100
Redlands, CA 92374-4588
San Bernardino County