ETHAN H M DANIELS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068932

License Status

INACTIVE

Business

First Name

ETHAN H M

Last Name

DANIELS

Suffix

Business Name

ETHAN H M DANIELS MD

Original Issue Date

07/09/1984

Effective Date

07/09/1984

Expiration Date

07/31/1987

City

SAN FRANCISCO

State

Zip

94118

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006