License Directory

Jacob Poulose

Active

California license A113557

License

Licensed by
Medical Board of California
License number
A113557
Status
Active (Current)
First issued
August 4, 2010
Expires
August 31, 2028
License holder
Jacob Poulose
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

8349 Reseda Blvd Ste G
Northridge, CA 91324-5914
Los Angeles County