PHILIP H CONWISAR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036080011

License Status

INACTIVE

Business

First Name

PHILIP H

Last Name

CONWISAR

Suffix

Business Name

PHILIP H CONWISAR MD

Original Issue Date

06/01/1990

Effective Date

06/01/1990

Expiration Date

07/31/1993

City

SAN DIEGO

State

Zip

92109

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006