Shota Gurchumelidze
ActiveCalifornia license A101612
License
- Licensed by
- Medical Board of California
- License number
- A101612
- Status
- Active (Current)
- First issued
- September 21, 2007
- Expires
- December 31, 2026
- License holder
- Shota Gurchumelidze
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
11848 Miro Cir
San Diego, CA 92131-3323
San Diego, CA 92131-3323
San Diego County