Edwin Boediono Liem
ActiveCalifornia 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
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
7012 Rock Hill Rd
Prospect, KY 40059-9368
Prospect, KY 40059-9368
Jefferson County