Bao-Lan Nguyen Raikar
ExpiredCalifornia license A69461
License
- Licensed by
- Medical Board of California
- License number
- A69461
- Status
- Expired (Delinquent)
- First issued
- April 10, 2017
- Expired
- April 30, 2023
- License holder
- Bao-Lan Nguyen Raikar
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
7017 265th Ave
Salem, WI 53168-8981
Salem, WI 53168-8981
Kenosha County