Stephanie Nicole Histed
ExpiredCalifornia license A131337
License
- Licensed by
- Medical Board of California
- License number
- A131337
- Status
- Expired (Delinquent)
- First issued
- June 27, 2014
- Expired
- January 31, 2022
- License holder
- Stephanie Nicole Histed
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
Department of Radiology
15 Francis Street
Boston, MA 02115
15 Francis Street
Boston, MA 02115
Suffolk County