Potion Revive
ActiveCalifornia license 558245
License
- Licensed by
- Medical Board of California
- License number
- 558245
- Status
- Active (Current)
- First issued
- October 4, 2024
- Expired
- October 31, 2026
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
3239 El Camino Real Ste 230
Palo Alto, CA 94306-2247
Palo Alto, CA 94306-2247
Santa Clara County