MA THERESA V EGASANI-ELISES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124636

License Status

NOT RENEWED

Business

Title

First Name

MA THERESA

Middle

Last Name

EGASANI-ELISES

Business Name

MA THERESA V EGASANI-ELISES MD

Original Issue Date

11/18/2009

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

DUBLIN

State

Zip

94568

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/01/2017