License Directory

Gila Wildfire

Active

California license A86112

License

Licensed by
Medical Board of California
License number
A86112
Status
Active (Current)
First issued
February 25, 2004
Expires
March 31, 2027
License holder
Gila Wildfire
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

2500 Alhambra Ave
Martinez, CA 94553-3156
Contra Costa County