LISE PHAN - Medical Doctor License in California | # 036153946

LISE PHAN

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153946

License Status

ACTIVE

Business

N

First Name

LISE

Last Name

PHAN

Business Name

LISE PHAN

Original Issue Date

08/05/2020

Effective Date

05/10/2023

Expiration Date

07/31/2026

State

CA

Ever Disciplined

N

LastModifiedDate

02/07/2025