License Directory

Kent Wilson Small

Active

California license A53173

License

Licensed by
Medical Board of California
License number
A53173
Status
Active (Current)
First issued
June 8, 1994
Expires
October 31, 2027
License holder
Kent Wilson Small
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

PO Box 261143
Encino, CA 91426
Los Angeles County