Javad Kenneth Tavassoli
ExpiredCalifornia license A109114
License
- Licensed by
- Medical Board of California
- License number
- A109114
- Status
- Expired (Delinquent)
- First issued
- August 5, 2009
- Expired
- April 30, 2023
- License holder
- Javad Kenneth Tavassoli
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
2439 Malibu Way
Del Mar, CA 92014
Del Mar, CA 92014
San Diego County