License Directory

Kusum Lata

Active

California 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

More from the license record

License type code
8002

Contact

1801 E March Ln Ste 170
Stockton, CA 95210-6673
San Joaquin County