BENSON LAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150215

License Status

NOT RENEWED

Business

Title

First Name

BENSON

Last Name

LAN

Business Name

BENSON LAN MD

Original Issue Date

07/15/2019

Effective Date

07/15/2019

Expiration Date

09/30/2020

City

IRVINE

State

Zip

92614

Ever Disciplined

LastModifiedDate

01/14/2021