KATHLEEN ELLEN BRISCOE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108444

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

ELLEN

Last Name

BRISCOE

Suffix

Business Name

KATHLEEN ELLEN BRISCOE MD

Original Issue Date

01/15/2003

Effective Date

01/15/2003

Expiration Date

07/31/2005

City

LAGUNA NIGUEL

State

Zip

92677

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/09/2006