Jeffrey Edward Wonoprabowo
ActiveCalifornia license A126969
License
- Licensed by
- Medical Board of California
- License number
- A126969
- Status
- Active (Current)
- First issued
- August 16, 2013
- Expires
- June 30, 2027
- License holder
- Jeffrey Edward Wonoprabowo
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
75036 Gerald Ford Dr
Palm Desert, CA 92211-2080
Palm Desert, CA 92211-2080
Riverside County