LISA J SHIVES - Medical Doctor License in California | # 036107292

LISA J SHIVES

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107292

License Status

ACTIVE

Business

N

First Name

LISA

Middle

J

Last Name

SHIVES

Business Name

LISA J SHIVES

Original Issue Date

06/28/2002

Effective Date

07/29/2023

Expiration Date

07/31/2026

State

CA

Ever Disciplined

N

LastModifiedDate

07/29/2023