License Directory

Nicole Michelle Antonio

Active

California license A103315

License

Licensed by
Medical Board of California
License number
A103315
Status
Active (Current)
First issued
April 3, 2008
Expires
September 30, 2027
License holder
Nicole Michelle Antonio
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

Optum - Beaver Medical Group
1690 Barton Road Suite 104
Redlands, CA 92373
San Bernardino County