DOUGLAS MINH-DUC PHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128785

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

MINH-DUC

Last Name

PHAN

Suffix

Business Name

DOUGLAS MINH-DUC PHAN MD

Original Issue Date

08/15/2011

Effective Date

07/02/2014

Expiration Date

07/31/2017

City

DALY CITY

State

Zip

94014

Ever Disciplined

LastModifiedDate

10/15/2018