BENJAMIN TETSU LISH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100978

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

TETSU

Last Name

LISH

Suffix

Business Name

BENJAMIN TETSU LISH MD

Original Issue Date

08/10/1999

Effective Date

08/10/1999

Expiration Date

07/31/2002

City

BAKERSFIELD

State

Zip

93301

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

08/19/2019