License Directory

Jaiva Blair Larsen

Active

California license A130178

License

Licensed by
Medical Board of California
License number
A130178
Status
Active (Current)
First issued
May 3, 2014
Expires
July 31, 2027
License holder
Jaiva Blair Larsen
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

435 Windham St
Santa Cruz, CA 95062-2463
Santa Cruz County