License Directory

Lynnely Stacy Sam

Active

California license A104063

License

Licensed by
Medical Board of California
License number
A104063
Status
Active (Current)
First issued
May 23, 2008
Expires
April 30, 2028
License holder
Lynnely Stacy Sam
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

13652 Cantara St
Panorama City, CA 91402-5423
Los Angeles County