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Licensing details for: A 206442

Name: Mondragon, Mayra

License Type: Physician and Surgeon A

Primary Status: License Renewed & Current Primary Status Definition

School Name: University of California, Davis School of Medicine

Graduation Year: 2024

Address of Record

9198 Bold Ruler Ln
RIVERSIDE CA 92509-3103
RIVERSIDE county
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Issuance Date

December 17, 2025

Expiration Date

February 29, 2028

Current Date / Time

May 16, 2026
2:01:49 PM

Public Record Actions

Public Documents

License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Physician & Surgeon

Related Party Role: Postgraduate Training License

Name: Mondragon, Mayra

License/Registration Type: Postgraduate Training License

License Number: 16662 Primary Status: License Canceled

Address :
9198 Bold Ruler Ln
RIVERSIDE CA 92509-3103
RIVERSIDE COUNTY

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Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

No AB 133 Survey Information Provided by Licensee

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