License Directory

Lereve

Expired

California license 558177

License

Licensed by
Medical Board of California
License number
558177
Status
Expired (Delinquent)
First issued
September 24, 2024
Expired
September 30, 2026
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

2516 Samaritan Dr Ste G
San Jose, CA 95124-4108
Santa Clara County