Colton Tyler Southall
ActiveCalifornia license A210107
License
- Licensed by
- Medical Board of California
- License number
- A210107
- Status
- Active (Current)
- First issued
- June 19, 2026
- Expires
- August 31, 2028
- License holder
- Colton Tyler Southall
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
43100 Palm Royale Dr
Apt 1121
La Quinta, CA 92253-7991
Apt 1121
La Quinta, CA 92253-7991
Riverside County