License Directory

Mark Theodore Fahlen

Active

California license A81212

License

Licensed by
Medical Board of California
License number
A81212
Status
Active (Current)
First issued
November 22, 2002
Expires
August 31, 2028
License holder
Mark Theodore Fahlen
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

1400 Florida Ave Ste 109
Modesto, CA 95350
Stanislaus County