Nathaniel Theodore Diaz
ExpiredCalifornia license A89528
License
- Licensed by
- Medical Board of California
- License number
- A89528
- Status
- Expired (Delinquent)
- First issued
- December 3, 2004
- Expired
- October 31, 2024
- License holder
- Nathaniel Theodore Diaz
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
1294 N Rose Ave
Palm Springs, CA 92262
Palm Springs, CA 92262
Riverside County