License Directory

Augustine Quinones Provencio

Active

California license A48099

License

Licensed by
Medical Board of California
License number
A48099
Status
Active (Current)
First issued
April 2, 1990
Expires
September 30, 2027
License holder
Augustine Quinones Provencio
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

2779 Goldenrod Ct
Merced, CA 95340-2772
Merced County