License Directory

Nathan Daniel Ford

Active

California license A122580

License

Licensed by
Medical Board of California
License number
A122580
Status
Active (Current)
First issued
August 22, 2012
Expires
May 31, 2028
License holder
Nathan Daniel Ford
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

1071 N Fairfax Ave
West Hollywood, CA 90046-6102
Los Angeles County