Susan J Carbognin
ExpiredCalifornia license A111304
License
- Licensed by
- Medical Board of California
- License number
- A111304
- Status
- Expired (Delinquent)
- First issued
- March 3, 2010
- Expired
- November 30, 2025
- License holder
- Susan J Carbognin
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
Malcom Grow Medical Clinics
1060 W Perimeter Rd
Andrews Afb, MD 20762
1060 W Perimeter Rd
Andrews Afb, MD 20762
Prince Georges County