Concepcion Imperial Bantug
ActiveCalifornia license A55561
License
- Licensed by
- Medical Board of California
- License number
- A55561
- Status
- Active (Current)
- First issued
- January 24, 1996
- Expires
- December 31, 2027
- License holder
- Concepcion Imperial Bantug
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
276 International Circle
San Jose, CA 95119-1130
San Jose, CA 95119-1130
Santa Clara County