John Bonner Lissoway
ActiveCalifornia license A116698
License
- Licensed by
- Medical Board of California
- License number
- A116698
- Status
- Active (Current)
- First issued
- June 26, 2023
- Expires
- June 30, 2027
- License holder
- John Bonner Lissoway
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
1100 Central Ave SE
Albuquerque, NM 87106-4930
Albuquerque, NM 87106-4930
Bernalillo County