Autumn Skye Ivy
ActiveCalifornia license A126865
License
- Licensed by
- Medical Board of California
- License number
- A126865
- Status
- Active (Current)
- First issued
- August 9, 2013
- Expires
- October 31, 2028
- License holder
- Autumn Skye Ivy
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
Kennedy Krieger Institute
707 North Broadway
Baltimore, MD 21205
707 North Broadway
Baltimore, MD 21205
Baltimore (City) County