Medical Board of California
Licensing details for: A 206651
Name: Theodory, Bassam
License Type: Physician and Surgeon A
Primary Status: License Renewed & Current

School Name: University of California, Riverside School of Medicine
Graduation Year: 2024
Address of Record
8228 Pecan Ave
RANCHO CUCAMONGA CA 91739-9268
SAN BERNARDINO county
Map
License Relationships
Postgraduate Training License associated with Physician & Surgeon License
License/Registration Role: Physician & Surgeon
Related Party Role: Postgraduate Training License
Name: Theodory, Bassam
License/Registration Type: Postgraduate Training License
License Number: 14794 Primary Status: License Canceled
Address :
Riverside Community Hospital
4445 Magnolia Ave
RIVERSIDE CA 92501
RIVERSIDE COUNTY
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



