License Directory

Derrick Roth Fansler

Active

California license A107355

License

Licensed by
Medical Board of California
License number
A107355
Status
Active (Current)
First issued
August 14, 2026
Expires
October 31, 2028
License holder
Derrick Roth Fansler
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

PO Box 613
Placentia, CA 92871-0613
Orange County