Licensee: MAKABIS YOUSEFPOUR
License Number:
0849
License Issued:
06/08/2016
License Cancellation:
08/31/2018
License Status:
Cancelled
Discipline Action:
No
Phone:
(323) 262-7450
Address:
OMEGA PODIATRY INC
2137 CESAR CHAVEZ AVENUE
LOS ANGELES
CA
90033
