License Directory

Amelia Murti Fan

Active

California license A103199

License

Licensed by
Medical Board of California
License number
A103199
Status
Active (Current)
First issued
March 26, 2008
Expires
November 30, 2027
License holder
Amelia Murti Fan
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

1500 E Chevy Chase Dr Ste 250
Glendale, CA 91206-4293
Los Angeles County