Skin Form Aesthetics
ActiveCalifornia license 562029
License
- Licensed by
- Medical Board of California
- License number
- 562029
- Status
- Active (Current)
- First issued
- July 1, 2026
- Expires
- July 31, 2028
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
14708 Ventura Blvd
Sherman Oaks, CA 91403-3674
Sherman Oaks, CA 91403-3674
Los Angeles County