License Directory

Rusly Harsono

Active

California license A92797

License

Licensed by
Medical Board of California
License number
A92797
Status
Active (Current)
First issued
September 14, 2005
Expires
June 30, 2027
License holder
Rusly Harsono
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

191 Circle Dr
Walnut Creek, CA 94595-1708
Contra Costa County