License Directory

Mark Boonyasampant

Active

California license A126158

License

Licensed by
Medical Board of California
License number
A126158
Status
Active (Current)
First issued
June 14, 2013
Expires
January 31, 2027
License holder
Mark Boonyasampant
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

832 Grandview Ave
Fullerton, CA 92832-1114
Orange County