License Directory

Marivic Alba Bautista

Active

California license A100478

License

Licensed by
Medical Board of California
License number
A100478
Status
Active (Current)
First issued
June 20, 2007
Expires
August 31, 2028
License holder
Marivic Alba Bautista
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

5427 Whittier Blvd
Los Angeles, CA 90022-4101
Los Angeles County