Individual (Sole Proprietor) Professional Medical Corporation / Partnership Professional Podiatry Corporation / Podiatric Medicine / Shares Profession Corporation / Professional Medical Corporation / California 1 / California Licensing Program 2005 Evergreen Street / /
Currency
USD / / /
Organization
Medical Board of California / HOUSING AGENCY / Medical Board of California Licensing Program / MEDICAL BOARD OF CALIFORNIA Licensing Program APPLICATION CHECKLIST FOR FICTITIOUS NAME PERMIT For / Department of Consumer Affairs EDMUND G. BROWN JR. / AND HOUSING AGENCY / Franchise Tax Board / Division of Licensing / California Board of Podiatric Medicine / BOARD OF CALIFORNIA Licensing Program FOR OFFICE USE ONLY FICTITIOUS NAME PERMIT Fee Paid / /
Person
EDMUND G. BROWN JR. / / /
Position
Governor / cashier / Physician / licensed physician and surgeon / Program Manager for Licensing Operations / Any physician and surgeon / proprietor / Secretary of State / licensed physician / podiatrist / /
BUSINESS, CONSUMER SERVICES, AND HOUSING AGENCY - Department of Consumer Affairs EDMUND G. BROWN JR., Governor MEDICAL BOARD OF CALIFORNIA Licensing Program