License Directory

Edwin Boediono Liem

Active

California license A76941

License

Licensed by
Medical Board of California
License number
A76941
Status
Active (Current)
First issued
October 31, 2001
Expires
February 28, 2027
License holder
Edwin Boediono Liem
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

7012 Rock Hill Rd
Prospect, KY 40059-9368
Jefferson County