License Directory

Jennifer Jean Nissly Larsen

Active

California license A122827

License

Licensed by
Medical Board of California
License number
A122827
Status
Active (Current)
First issued
September 7, 2012
Expires
August 31, 2028
License holder
Jennifer Jean Nissly Larsen
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

HBS Department
1200 El Camino Real
South San Francisco, CA 94080-3208
San Mateo County