License Directory

Justin Theodore Wahlstrom

Expired

California license A113418

License

Licensed by
Medical Board of California
License number
A113418
Status
Expired (Delinquent)
First issued
July 23, 2010
Expired
May 31, 2026
License holder
Justin Theodore Wahlstrom
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

2380 Conejo Spectrum St
Suite 200
Newbury Park, CA 91320-1444
Ventura County