License Directory

Melissa Province Bennett

Active

California license A92274

License

Licensed by
Medical Board of California
License number
A92274
Status
Active (Current)
First issued
July 27, 2005
Expires
October 31, 2028
License holder
Melissa Province Bennett
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

4405 Vandever Ave
San Diego, CA 92120-3315
San Diego County