Consumer Complaint Form
BUSINESS, CONSUMER SERVICES, AND HOUSING AGENCY Department of Consumer Affairs- EDMUND G. BROWN JR., Governor MEDICAL BOARD OF CALIFORNIA
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Explanation for Application Question
www.mbc.ca.govOF CALIFORNIA MEDICAL BOARD Licensing Program 2005 Evergreen Street, Suite 1200 Sacramento, CA 95815-5401 Phone: (916) 263-2382 Fax: (916) 263-2487
MEDICAL BOARD Licensing Program
www.mbc.ca.govOF CALIFORNIA MEDICAL BOARD Licensing Program 2005 Evergreen Street, Suite 1200 Sacramento, CA 95815-5401 Phone: (916) 263-2382 Fax: (916) 263-2487
MEDICAL BOARD Licensing Program
www.mbc.ca.govOF CALIFORNIA MEDICAL BOARD Licensing Program 2005 Evergreen Street, Suite 1200 Sacramento, CA 95815-5401 Phone: (916) 263-2382 Fax: (916) 263-2487 www.mbc.ca.gov
MEDICAL BOARD OF CALIFORNIA
www.mbc.ca.govYes No . Name and address of hospital (if applicable): Please check the appropriate Adverse Event Category. In addition, check the Adverse Event
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MEDICAL BOARD Licensing Program
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