JOHN WING FAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134180

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Middle

WING

Last Name

FAN

Business Name

JOHN WING FAN MD

Original Issue Date

11/15/2013

Effective Date

07/01/2014

Expiration Date

07/31/2017

City

SAN DIEGO

State

Zip

92128

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/01/2017