Modern Functional Health
ExpiredCalifornia license 558191
License
- Licensed by
- Medical Board of California
- License number
- 558191
- Status
- Expired (Delinquent)
- First issued
- September 25, 2024
- Expired
- September 30, 2026
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1822 Marron Rd # 21
Carlsbad, CA 92008-1172
Carlsbad, CA 92008-1172
San Diego County