Jason Kanji
ExpiredCalifornia license A89292
License
- Licensed by
- Medical Board of California
- License number
- A89292
- Status
- Expired (Delinquent)
- First issued
- November 5, 2004
- Expired
- May 31, 2024
- License holder
- Jason Kanji
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
15 Cobblestone Ln
Lake Grove, NY 11755-2757
Lake Grove, NY 11755-2757
Suffolk County