License Directory

Jiries Peter Mogannam

Active

California license A114965

License

Licensed by
Medical Board of California
License number
A114965
Status
Active (Current)
First issued
December 1, 2010
Expires
June 30, 2028
License holder
Jiries Peter Mogannam
Entity type
Individual

Classifications

More from the license record

License type code
8002

Other California licenses under this name

Contact

1460 Farmers Ln
Santa Rosa, CA 95405-7502
Sonoma County