Daryl Page Banta
ActiveCalifornia license A88722
License
- Licensed by
- Medical Board of California
- License number
- A88722
- Status
- Active (Current)
- First issued
- September 1, 2004
- Expires
- May 31, 2028
- License holder
- Daryl Page Banta
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
10 Congress St Ste 155
Pasadena, CA 91105-3045
Pasadena, CA 91105-3045
Los Angeles County