License Directory

Mark Grant Shapiro

Active

California license A91772

License

Licensed by
Medical Board of California
License number
A91772
Status
Active (Current)
First issued
June 17, 2005
Expires
April 30, 2027
License holder
Mark Grant Shapiro
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Sonoma County