Alvah Tyson Wickboldt Jr
ActiveCalifornia license A129213
License
- Licensed by
- Medical Board of California
- License number
- A129213
- Status
- Active (Current)
- First issued
- March 21, 2014
- Expires
- March 31, 2028
- License holder
- Alvah Tyson Wickboldt Jr
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
105 Patriot St Ste 102
Lafayette, LA 70508-6831
Lafayette, LA 70508-6831
Lafayette County