PETER M PHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122546

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

PHAN

Suffix

Business Name

PETER M PHAN MD

Original Issue Date

02/03/2009

Effective Date

02/03/2009

Expiration Date

07/31/2011

City

ALISO VIEJO

State

Zip

92656

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/14/2011