License Directory

Shantaveer Gangu

Expired

California license A120455

License

Licensed by
Medical Board of California
License number
A120455
Status
Expired (Delinquent)
First issued
March 9, 2012
Expired
January 31, 2024
License holder
Shantaveer Gangu
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

Westerly C
11234 Anderson St
Loma Linda, CA 92354
San Bernardino County