License Directory

Sandra Tatiana Fortner

Active

California license A78957

License

Licensed by
Medical Board of California
License number
A78957
Status
Active (Current)
First issued
May 1, 2002
Expires
December 31, 2027
License holder
Sandra Tatiana Fortner
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

136 W. Belmont Dr Suite11 #167
Calhoun, GA 30701-5900
Gordon County