Longevity Club Md
ActiveCalifornia license 558296
License
- Licensed by
- Medical Board of California
- License number
- 558296
- Status
- Active (Current)
- First issued
- October 10, 2024
- Expired
- October 31, 2026
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
3987 Missouri Flat Rd Ste 340 # 447
Placerville, CA 95667-5252
Placerville, CA 95667-5252
El Dorado County