Franky Phillip Hasibuan
ActiveCalifornia license A122762
License
- Licensed by
- Medical Board of California
- License number
- A122762
- Status
- Active (Current)
- First issued
- September 5, 2012
- Expires
- September 30, 2028
- License holder
- Franky Phillip Hasibuan
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
12815 Heacock St
Moreno Valley, CA 92553-3116
Moreno Valley, CA 92553-3116
Riverside County