JAY CHANAN MALL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041783

License Status

INACTIVE

Business

First Name

JAY CHANAN

Last Name

MALL

Suffix

Business Name

JAY CHANAN MALL MD

Original Issue Date

07/01/1968

Effective Date

07/01/1968

Expiration Date

07/31/1987

City

SAN FRANCISCO

State

Zip

94118

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006