Mark Stephen Nicks
ActiveCalifornia license A63774
License
- Licensed by
- Medical Board of California
- License number
- A63774
- Status
- Active (Current)
- First issued
- October 24, 1997
- Expires
- May 31, 2027
- License holder
- Mark Stephen Nicks
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
5601 De Soto Ave
Woodland Hills, CA 91367-6701
Woodland Hills, CA 91367-6701
Los Angeles County