LISE PHAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153946

License Status

ACTIVE

Business

First Name

LISE

Last Name

PHAN

Business Name

LISE PHAN

Original Issue Date

08/05/2020

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

ARCADIA

State

Zip

91006

Ever Disciplined

LastModifiedDate

02/07/2025