License Directory

Gustavo Guillermo Velasquez

Expired

California license A104739

License

Licensed by
Medical Board of California
License number
A104739
Status
Expired (Delinquent)
First issued
July 1, 2008
Expired
June 30, 2022
License holder
Gustavo Guillermo Velasquez
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

4377 W Vermillion Dr
South Jordan, UT 84095-7776
Salt Lake County