License Directory

Mark David Shalauta

Active

California license A61000

License

Licensed by
Medical Board of California
License number
A61000
Status
Active (Current)
First issued
October 4, 1996
Expires
March 31, 2028
License holder
Mark David Shalauta
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

15004 Innovation Dr
San Diego, CA 92128-3491
San Diego County