FONG TER LAI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049563

License Status

INACTIVE

Business

First Name

FONG TER

Last Name

LAI

Suffix

Business Name

FONG TER LAI MD

Original Issue Date

08/28/1974

Effective Date

08/28/1974

Expiration Date

07/31/1987

City

STOCKTON

State

Zip

95209

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006