JULIAN THADDEUS LIS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037227

License Status

INACTIVE

Business

First Name

JULIAN THADDEUS

Last Name

LIS

Suffix

Business Name

JULIAN THADDEUS LIS MD

Original Issue Date

06/13/1961

Effective Date

06/13/1961

Expiration Date

07/31/1987

City

RIVERSIDE

State

Zip

92506

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006