License Directory

Dominique Lucienne Mall

Active

California license A86680

License

Licensed by
Medical Board of California
License number
A86680
Status
Active (Current)
First issued
April 8, 2004
Expires
June 30, 2027
License holder
Dominique Lucienne Mall
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

12675 Hesperia Rd
Victorville, CA 92395-5878
San Bernardino County