License Directory

Tanja Virginia Crockett

Active

California license A75352

License

Licensed by
Medical Board of California
License number
A75352
Status
Active (Current)
First issued
June 27, 2001
Expires
September 30, 2028
License holder
Tanja Virginia Crockett
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

3811 Valley Centre Dr
San Diego, CA 92130
San Diego County