Harry Clifford Fornwalt III
ActiveCalifornia license A103430
License
- Licensed by
- Medical Board of California
- License number
- A103430
- Status
- Active (Current)
- First issued
- April 11, 2008
- Expires
- September 30, 2027
- License holder
- Harry Clifford Fornwalt III
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
5904A Warner Ave # 318
Huntington Beach, CA 92649-4660
Huntington Beach, CA 92649-4660
Orange County