Garry Forkosh
ActiveCalifornia license A123093
License
- Licensed by
- Medical Board of California
- License number
- A123093
- Status
- Active (Current)
- First issued
- October 3, 2012
- Expires
- May 31, 2028
- License holder
- Garry Forkosh
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
1515 East Ocean Ave
Lompoc, CA 93436
Lompoc, CA 93436
Santa Barbara County