PHILIP A FARACI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079395

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

Last Name

FARACI

Suffix

Business Name

PHILIP A FARACI MD

Original Issue Date

09/12/1989

Effective Date

09/21/2017

Expiration Date

09/30/2020

City

LONG BEACH

State

Zip

90803

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

01/14/2021