ELLEN S DEFOREST
Medical Practice at Costa Verde Blvd, San Diego, CA

License number
Florida 28470
Issued Date
Jun 12, 1989
Effective Date
Jul 27, 2016
Expiration Date
Aug 31, 2018
Category
Health Care
Type
Clinical Laboratory Personnel
Address
Address
8550 Costa Verde Blvd, San Diego, CA 92122
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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