Kusum Lata
ActiveCalifornia license A110487
License
- Licensed by
- Medical Board of California
- License number
- A110487
- Status
- Active (Current)
- First issued
- December 24, 2009
- Expires
- March 31, 2027
- License holder
- Kusum Lata
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
1801 E March Ln Ste 170
Stockton, CA 95210-6673
Stockton, CA 95210-6673
San Joaquin County