PHOT LUISIRI Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088084

License Status

INACTIVE

Business

First Name

PHOT

Last Name

LUISIRI

Business Name

PHOT LUISIRI

Original Issue Date

03/07/1994

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

LOS ANGELES

State

Zip

90065

Ever Disciplined

LastModifiedDate

04/17/2008