Medical Board of California
Licensing details for: PTL 13140
Name: Monk-Pruden, Mia Michelle
License Type: Postgraduate Training License
Primary Status: License Canceled

School Name: American University of Antigua College of Medicine (Antigua Campus)
Graduation Year: 2023
Previous Names: Monk, Mia Michelle ❖ MONK-PRUDEN, MIA MICHELLE
Current Enrolled Postgraduate Training Program
Facility Name: HCA Healthcare Riverside Program
City: Riverside
State: California
Speciality: Family medicine
Start Date: 07/01/2023
Anticipated End Date: 09/30/2025
Address of Record
4445 Magnolia Ave
RIVERSIDE CA 92501-4135
RIVERSIDE county
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License Relationships
Postgraduate Training License associated with Physician & Surgeon License
License/Registration Role: Postgraduate Training License
Related Party Role: Physician & Surgeon
Name: Monk-Pruden, Mia Michelle
License/Registration Type: Physician's and Surgeon's
License Number: 207876 Primary Status: License Renewed & Current
Address :
4510 Brockton Ave
RIVERSIDE CA 92501-4015
RIVERSIDE COUNTY



