Ivan Dedrick Gavin Hamilton
ActiveCalifornia license A104632
License
- Licensed by
- Medical Board of California
- License number
- A104632
- Status
- Active (Current)
- First issued
- June 27, 2008
- Expires
- November 30, 2027
- License holder
- Ivan Dedrick Gavin Hamilton
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
975 S Fairmont Ave
Lodi, CA 95240-5118
Lodi, CA 95240-5118
San Joaquin County