Mary L Small
ExpiredCalifornia license A22518
License
- Licensed by
- Medical Board of California
- License number
- A22518
- Status
- Expired (Delinquent)
- First issued
- July 1, 1967
- Expired
- April 30, 2023
- License holder
- Mary L Small
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
291 Pioneer Dr
Port Ludlow, WA 98365
Port Ludlow, WA 98365
Jefferson County