VINCENT C FAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122238

License Status

INACTIVE

Business

Title

First Name

VINCENT

Middle

Last Name

FAN

Business Name

VINCENT C FAN MD

Original Issue Date

11/19/2008

Effective Date

07/25/2011

Expiration Date

07/31/2014

City

RANCHO PALOS VERDES

State

Zip

90275

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

07/10/2015