DUY LAM PHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140184

License Status

NOT RENEWED

Business

Title

First Name

DUY

Middle

LAM

Last Name

PHAN

Business Name

DUY LAM PHAN MD

Original Issue Date

03/28/2016

Effective Date

03/28/2016

Expiration Date

07/31/2017

City

ANAHEIM

State

Zip

92807

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/01/2017