Bare
ActiveCalifornia license 558149
License
- Licensed by
- Medical Board of California
- License number
- 558149
- Status
- Active (Current)
- First issued
- September 18, 2024
- Expires
- September 30, 2028
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Other California licenses under this name
-
CA
ExpiredGoleta, CAExpired Mar 31, 2026
-
CA
ActiveGoleta, CAExpires Feb 28, 2027
Contact
1082 Lincoln Ave
San Jose, CA 95125-3110
San Jose, CA 95125-3110
Santa Clara County