Amy Lara Kostishack
ActiveCalifornia 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
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
East Valley Clinic Pediatrics
1993 McKee Rd
San Jose, CA 95116
1993 McKee Rd
San Jose, CA 95116
Santa Clara County