ANDY PHAN Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103542

License Status

INACTIVE

Business

First Name

ANDY

Last Name

PHAN

Business Name

ANDY PHAN

Original Issue Date

09/26/2000

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

VISALIA

State

Zip

93292

Ever Disciplined

LastModifiedDate

07/08/2008