Gustavo Guillermo Velasquez
ExpiredCalifornia 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
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
4377 W Vermillion Dr
South Jordan, UT 84095-7776
South Jordan, UT 84095-7776
Salt Lake County