License Directory

Donah Formica Bulosan

Active

California license A79396

License

Licensed by
Medical Board of California
License number
A79396
Status
Active (Current)
First issued
June 7, 2002
Expires
June 30, 2028
License holder
Donah Formica Bulosan
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

10333 El Camino Real
Atascadero, CA 93422-5808
San Luis Obispo County