License Directory

Carlos Luciano Untal

Active

California 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

More from the license record

License type code
8002

Contact

4472 Broad St Ste 100
San Luis Obispo, CA 93401-7936
San Luis Obispo County