License Directory

Mary L Small

Expired

California 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

More from the license record

License type code
8002

Contact

291 Pioneer Dr
Port Ludlow, WA 98365
Jefferson County