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California license 560933

License

Licensed by
Medical Board of California
License number
560933
Status
Active (Current)
First issued
January 13, 2026
Expires
January 31, 2028
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

901 N Market St Apt 100
n/a Telehealth
Wilmington, DE 19801-3041
New Castle County