License Directory

Jesse Joseph Licuanan

Active

California license A87633

License

Licensed by
Medical Board of California
License number
A87633
Status
Active (Current)
First issued
June 11, 2004
Expires
February 29, 2028
License holder
Jesse Joseph Licuanan
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

3650 South St Ste 403
Lakewood, CA 90712-1504
Los Angeles County