License Directory

Justin Thomas Diedrich

Active

California license A114859

License

Licensed by
Medical Board of California
License number
A114859
Status
Active (Current)
First issued
November 24, 2010
Expires
October 31, 2028
License holder
Justin Thomas Diedrich
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

29525 Canwood St
Suite 220
Agoura Hills, CA 91301-4233
Los Angeles County