License Directory

Concepcion Imperial Bantug

Active

California 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

More from the license record

License type code
8002

Contact

276 International Circle
San Jose, CA 95119-1130
Santa Clara County