Johanes Martin Ismawan

License

Licensed by

Medical Board of California

License number

A113980

Status

Active (Current)

First issued

September 10, 2010

Expires

March 31, 2028

License holder

Johanes Martin Ismawan

Entity type

Individual

Classifications

• Physician and Surgeon A Physicians & Surgeons

More from the license record

License type code

8002

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