License Directory

Amy Lara Kostishack

Active

California license A79345

License

Licensed by
Medical Board of California
License number
A79345
Status
Active (Current)
First issued
June 5, 2002
Expires
January 31, 2028
License holder
Amy Lara Kostishack
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

East Valley Clinic Pediatrics
1993 McKee Rd
San Jose, CA 95116
Santa Clara County