License Directory

Mark-Allen Nison Polyakov

Active

California license A132011

License

Licensed by
Medical Board of California
License number
A132011
Status
Active (Current)
First issued
August 6, 2014
Expires
August 31, 2028
License holder
Mark-Allen Nison Polyakov
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

185 Sotoyome St
Santa Rosa, CA 95405-4803
Sonoma County