License Directory

Lily Tadayyon Kregenow

Active

California license A74615

License

Licensed by
Medical Board of California
License number
A74615
Status
Active (Current)
First issued
October 21, 2025
Expires
December 31, 2027
License holder
Lily Tadayyon Kregenow
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

205 South St
Fort Bragg, CA 95437-5540
Mendocino County