Carlos Luciano Untal
ActiveCalifornia license A90379
License
- Licensed by
- Medical Board of California
- License number
- A90379
- Status
- Active (Current)
- First issued
- March 4, 2005
- Expires
- October 31, 2028
- License holder
- Carlos Luciano Untal
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
4472 Broad St Ste 100
San Luis Obispo, CA 93401-7936
San Luis Obispo, CA 93401-7936
San Luis Obispo County