License Directory

Glen S Osullivan

Active

California 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

More from the license record

License type code
8002

Contact

635 Lassen Ln
Mount Shasta, CA 96067-9003
Siskiyou County