JUSTIN P COLLINGHAM - Medical Doctor License in California | # 036110574

JUSTIN P COLLINGHAM

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110574

License Status

INACTIVE

Business

N

First Name

JUSTIN

Middle

P

Last Name

COLLINGHAM

Business Name

JUSTIN P COLLINGHAM

Original Issue Date

12/11/2003

Effective Date

12/11/2003

Expiration Date

07/31/2005

State

CA

Ever Disciplined

N

LastModifiedDate

10/09/2006