Andre Mikael De Leon
ExpiredCalifornia license A111115
License
- Licensed by
- Medical Board of California
- License number
- A111115
- Status
- Expired (Delinquent)
- First issued
- February 12, 2010
- Expired
- October 31, 2021
- License holder
- Andre Mikael De Leon
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
111 Batista Ct
Palm Desert, CA 92211-0796
Palm Desert, CA 92211-0796
Riverside County