Braincussion Medical Group West, P.C.
ExpiredCalifornia license 558203
License
- Licensed by
- Medical Board of California
- License number
- 558203
- Status
- Expired (Delinquent)
- First issued
- September 26, 2024
- Expired
- September 30, 2026
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
6203 San Ignacio Ave Ste 110
San Jose, CA 95119-1358
San Jose, CA 95119-1358
Santa Clara County