License Directory

Mary Eppie Porciuncula Gonzales

Active

California license A90912

License

Licensed by
Medical Board of California
License number
A90912
Status
Active (Current)
First issued
April 15, 2005
Expires
November 30, 2028
License holder
Mary Eppie Porciuncula Gonzales
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

Divine Grace Medical Clinic
17150 Norwalk Blvd
Cerritos, CA 90703
Los Angeles County