DIANA TRAM PHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140455

License Status

NOT RENEWED

Business

Title

First Name

DIANA

Middle

TRAM

Last Name

PHAN

Business Name

DIANA TRAM PHAN MD

Original Issue Date

04/21/2016

Effective Date

04/21/2016

Expiration Date

07/31/2017

City

IRVINE

State

Zip

92618

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/01/2017