Douglas Andrew Blank
ExpiredCalifornia license A103647
License
- Licensed by
- Medical Board of California
- License number
- A103647
- Status
- Expired (Delinquent)
- First issued
- May 2, 2008
- Expired
- May 31, 2022
- License holder
- Douglas Andrew Blank
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
402 Dickinson St
St # 8774
San Diego, CA 92103-6902
St # 8774
San Diego, CA 92103-6902
San Diego County