License Directory

Grant Edward Nybakken

Active

California license A120789

License

Licensed by
Medical Board of California
License number
A120789
Status
Active (Current)
First issued
April 4, 2012
Expires
April 30, 2028
License holder
Grant Edward Nybakken
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

Ppmg
383 East Grand Avenue
South San Francisco, CA 94080
San Mateo County