BENJAMIN TETSU LISH MD - Medical Doctor License in California | # 036100978

BENJAMIN TETSU LISH MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100978

License Status

NOT RENEWED

Business

N

First Name

BENJAMIN

Middle

TETSU

Last Name

LISH

Suffix

MD

Business Name

BENJAMIN TETSU LISH MD

Original Issue Date

08/10/1999

Effective Date

08/10/1999

Expiration Date

07/31/2002

State

CA

Ever Disciplined

N

LastModifiedDate

08/19/2019