Glen S Osullivan
ActiveCalifornia license A44219
License
- Licensed by
- Medical Board of California
- License number
- A44219
- Status
- Active (Current)
- First issued
- November 23, 1987
- Expires
- May 31, 2027
- License holder
- Glen S Osullivan
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
635 Lassen Ln
Mount Shasta, CA 96067-9003
Mount Shasta, CA 96067-9003
Siskiyou County