License Directory

Franky Phillip Hasibuan

Active

California 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

More from the license record

License type code
8002

Contact

12815 Heacock St
Moreno Valley, CA 92553-3116
Riverside County